River Valley Healthcare Associates, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RIVER VALLEY HEALTHCARE ASSOCIATES, PC

Practice address

28 Town Center Dr
Dublin, VA 24084-6069

Phone

(540) 616-8991

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By 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

Ehikioya O OsemoborNPI 1366677791

Title

MD

Phone

(540) 616-8991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Knotresha Floreth Stewart, M.D.

  • Internal Medicine Physician
  • Dublin, VA
  • NPI 1770719486
  Medicare reassignment NPD
• Ehikioya Osamudiamen Osemobor, MD

  • Internal Medicine Physician
  • Pulaski, VA
  • NPI 1366677791
  Authorized official Same address or phone

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1255708616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 TOWN CENTER DR",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240846069",
            "telephone_number": "540-616-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 TOWN CENTER DR",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240846069",
            "telephone_number": "540-616-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY HEALTHCARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "OSEMOBOR",
        "authorized_official_first_name": "EHIKIOYA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "540-616-8991"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Pugh, OT
• Pulaski Adult Day Service & Fall Prevention Center, Inc.
• Pulaski County Board of Supervisors (Pulaski County Public Safety)
• Pulaski Internal Medicine, PC
• Kelly Nicole Rebkovich
• Randall Gary Samples, MD
• Shannon Setliff
• Erin Shaffer, LCSW
• Cassie Ann Sheffey, FNP
• Michelle Walker Sherfy, CCC-SLP

• Primary Care Clinic/Center in Dublin, VA
• Providers in Dublin, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.