River Health Care, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

80152 Issued in MS

Legal business name

RIVER HEALTH CARE, LLC

Doing business as

Magnolia Foot Care Center

Practice address

426 Abbey Woods
Brandon, MS 39047-7719

Phone

(601) 941-6386

NPI assigned

Jul 21, 2015

Last updated

Jul 21, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

RIVER HEALTH CARE, LLCAs reported in NPPES

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

Authorized official

Name

Larry K Cruel, DPM

Title

Owner / President

Phone

(601) 941-6386

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Foot Care Center Doing business as

Part of

River Health Care LLC

Locations

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1184009086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 OFFICE PARK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392066016",
            "telephone_number": "601-941-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 ABBEY WOODS",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477719",
            "telephone_number": "601-941-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HEALTH CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVER HEALTH CARE, LLC",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "CRUEL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "601-941-6386",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Foot Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay J Rigby
• Edward E Rigdon, MD
• Mallory N Rigdon, SLP
• Angela Riley, CMHT
• Kenneth John Risinger, PMHNP
• River Oaks Management Company, LLC (CarePlus Family Medical at Brandon)
• River Oaks Management Company, LLC (Mid-MS Hospitalists)
• River Oaks Management, LLC (Pelahatchie Medical Center)
• River Oaks Management, LLC (Rankin Neurosurgery Center)
• Cara Robb, NP-C

• Podiatrist in Brandon, MS
• Providers in Brandon, MS by specialty
• Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.