Riverside Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

331055 Issued in MN

Legal business name

RIVERSIDE ENDOSCOPY CENTER

Practice address

606 24TH Ave S
Suite 800
Minneapolis, MN 55454-1455

Phone

(651) 225-7999

Fax

(651) 225-7997

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Eugene Karulf

Title

President / Ceo

Phone

(651) 225-7999

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University of Minnesota Physicians

  • Clinical Medical Laboratory
  • Minneapolis, MN
  • NPI 1467850206

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johan Fredrik Nordenstam, MD

  • Surgery Physician
  • Gainesville, FL
  • NPI 1952614265
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083710784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WESTGATE DR",
            "address_2": "SUITE 190",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141451",
            "telephone_number": "651-312-1505",
            "fax_number": "651-312-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 24TH AVE S",
            "address_2": "SUITE 800",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541455",
            "telephone_number": "651-225-7999",
            "fax_number": "651-225-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARULF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "651-225-7999",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "331055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Shoshana Rivers, LMFT
• Lisa Marie Rivers, PA-C
• Lynn Rivers, CRNA
• Zach Rivers, PHARMD
• Riverside Adult Care Inc
• Riverside Family Physicians
• Riverside Professional Health Services, LLC
• Riverside Urology, LLC
• Riverstone Chiropractic and Wellness PC
• Riverview Health Center LLC

• Ambulatory Surgical Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.