NPIMap

Organization Active NPI

Es Pediatric Partners LLC

Doing business as Riverside Pediatrics

  • Pediatrics Physician
  • Georgetown, SC
National Provider Identifier
1275993420
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34585 Issued in SC
Legal business name
ES PEDIATRIC PARTNERS LLC
Doing business as
Riverside Pediatrics
Practice address
435 Marina Dr
Georgetown, SC 29440-2410
Phone
(843) 833-8595
Fax
(843) 833-8599
NPI assigned
Mar 1, 2016
Last updated
Jun 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Authorized official

Name
Dr. Michelle Marie Steffen, M.D.NPI 1245267731
Title
Owner
Phone
(843) 833-8595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34585 SC Primary

Addresses

Primary practice location

435 Marina Dr
Georgetown, SC 29440-2410

Mailing address

435 Marina Dr
Georgetown, SC 29440-2410
Phone (843) 833-8595

Other identifiers 2

IdentifierTypeStateIssuer
RHC031MedicaidSC
Q84256MedicaidSC

Other names 1

  • Riverside Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2111073Riverside Pediatrics435 Marina Drive, Georgetown, SC 29440Certificate of waiverMar 29, 2028

National Provider Directory

National Provider Directory

Locations

435 Marina Dr
Georgetown, SC 29440
Phone (843) 833-8595

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1275993420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 MARINA DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402410",
            "telephone_number": "843-833-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MARINA DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402410",
            "telephone_number": "843-833-8595",
            "fax_number": "843-833-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ES PEDIATRIC PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-833-8595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "34585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC031",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q84256",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.