Riverview Pulmonary Clinic

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

RIVERVIEW PULMONARY CLINIC

Practice address

107 Front St
Vidalia, LA 71373-2836

Phone

(318) 336-2222

Fax

(318) 336-6062

NPI assigned

Jul 2, 2024

Organization subpart

No

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

Authorized official

Name

Mohammad N Alfarawati, M.D.NPI 1154582542

Title

Owner

Phone

(662) 801-4975

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

Enrollment records 2

Practitioners 1

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

• Mohammad N. Alfarawati, M.D.

  • Pulmonary Disease Physician
  • Mount Pleasant, TX
  • NPI 1154582542

  LA, MS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1265278048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FRONT ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713732836",
            "telephone_number": "318-336-2222",
            "fax_number": "318-336-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FRONT ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713732836",
            "telephone_number": "318-336-2222",
            "fax_number": "318-336-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW PULMONARY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "ALFARAWATI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-801-4975",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverpark Community Cath Lab, LLC
• Riverpark Counseling LLC
• Riverpark Imaging Center LLC
• Riverpark Laboratory Services
• Riverpark Primary Health Clinic, LLC.
• Juanita Roberts
• Dorothy Robinson
• Pamela Robinson
• Pamela Marie Robinson
• Spencer Darkarr Robinson, CSW

• Pulmonary Disease Physician in Vidalia, LA
• Providers in Vidalia, LA by specialty
• Pulmonary Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.