Riverside Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RIVERSIDE MEDICAL CENTER

Doing business as

Riverside Medical Center

Practice address

1900 Main St
Franklinton, LA 70438-3688

Phone

(985) 839-4431

Fax

(985) 839-0319

NPI assigned

Jan 25, 2007

Last updated

Sep 19, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stacey K McGraw

Title

Business Office Director

Phone

(985) 795-4168

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Riverside Medical Center Doing business as

Tax ID family

Riverside Medical Cente8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Jerry a.Thomas M.D., L.L.C.

  • Primary Care Clinic/Center
  • Franklinton, LA
  • NPI 1023376183
  NPD tax ID
• Riverside Medical Center

  dba Riverside Medical Center Clinic

  • Family Medicine Physician
  • Franklinton, LA
  • NPI 1053145730
  NPD tax ID
• Riverside Medical Center

  dba Riverside Surgical Clinic

  • Clinic/Center
  • Franklinton, LA
  • NPI 1104290949
  NPD tax ID
• Riverside Medical Center

  dba Thomas Community Health Center

  • Rural Health Clinic/Center
  • Franklinton, LA
  • NPI 1578937371
  NPD tax ID
• Riverside Medical Center

  • Primary Care Clinic/Center
  • Franklinton, LA
  • NPI 1649693136
  NPD tax ID
• Riverside Medical Center

  dba Thomas Community Health Center

  • Family Medicine Physician
  • Franklinton, LA
  • NPI 1699290239
  NPD tax ID
• Riverside Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Franklinton, LA
  • NPI 1881756989
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/58e257bc-e191-4a35-bf38-51c1ed2d9839/

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1043365224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704383688",
            "telephone_number": "985-839-4431",
            "fax_number": "985-839-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704383688",
            "telephone_number": "985-839-4431",
            "fax_number": "985-839-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "985-795-4168",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084646",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PHYSICIANS",
            "identifier": "04798",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffery Roy Reeves, PT
• Renal Treatment Centers-Southeast, LP. (Washington Parish Dialysis)
• Kory Rhoden, PTA
• Stacey Richardson, MS, SLP-CCC
• Katie Ritchie
• Riverside Medical Center (Riverside Medical Center Clinic)
• Riverside Medical Center (Riverside Pediatrics and Internal Medicine Clinic)
• Riverside Medical Center (Riverside Surgical Clinic)
• Riverside Medical Center (Riverside Family Care Clinic)
• Riverside Medical Center (Riverside Cardiology Clinic)

• Internal Medicine Physician in Franklinton, LA
• Providers in Franklinton, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.