River Valley Primary Care of Poteau, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

128797 Issued in AR

Legal business name

RIVER VALLEY PRIMARY CARE OF POTEAU, LLC

Practice address

502 Dewey Ave
Poteau, OK 74953-4216

Phone

(504) 495-6772

NPI assigned

Jul 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Fredrick Joseph Fuoco, MD

Title

Owner

Phone

(504) 495-6772

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1043796626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 GARRISON AVE APT 202",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729011959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534216",
            "telephone_number": "504-495-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY PRIMARY CARE OF POTEAU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "FUOCO",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-495-6772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "N5521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "128797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Richard
• Douglas E Ridner
• Glenda Maye Riggs
• Janice Ruth Riggs, M.ED.
• Elizabeth C Ritchie, M.D.
• River Valley Total Foot Care LLC
• River Valley Women'S Care LLC
• River Vally Counseling
• Rivermark Physical Therapy, Inc
• Aleisha Roberts

• Family Nurse Practitioner in Poteau, OK
• Providers in Poteau, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.