Rivergate Sports Medicine and Orthopaedic Surgery, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD0000025005 Issued in TN

Legal business name

RIVERGATE SPORTS MEDICINE AND ORTHOPAEDIC SURGERY, P.C.

Practice address

353 New Shackle Island Rd
Suite 110a
Hendersonville, TN 37075-2379

Phone

(615) 264-4785

Fax

(615) 264-4786

NPI assigned

Apr 14, 2006

Organization subpart

No

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

Authorized official

Name

Robert Paul Landsberg, M.D.

Title

President

Phone

(615) 264-4785

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1083678098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 110A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-264-4785",
            "fax_number": "615-264-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 110A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-264-4785",
            "fax_number": "615-264-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERGATE SPORTS MEDICINE AND ORTHOPAEDIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "LANDSBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-264-4785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000025005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080193",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breayant Riley, MA
• Jesse Riley
• Hannah Ripley
• Jennifer Ashley Rippetoe, PTA
• Joseph Rivas
• RMT Service
• Blake Roberts
• Grace Elizabeth Roberts, PA
• Victoria Roberts, RBT
• Dawnalea Robinson, RN, IBCLC

• Specialist in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.