Active NPI
Riverside Spine & Pain Physicians, LLC
- Specialist
- Richmond Hill, GA
National Provider Identifier
1477922920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- RIVERSIDE SPINE & PAIN PHYSICIANS, LLC
- Practice address
- 2453 US Highway 17
Suite G
Richmond Hill, GA 31324-5959 - Phone
- (904) 389-1010
- Fax
- (904) 389-1082
- NPI assigned
- Sep 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Scott Kramarich, M.D.
- Title
- Medical Director
- Phone
- (904) 389-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2453 US Highway 17
Suite G
Richmond Hill, GA 31324-5959
Mailing address
7207 Golden Wings Rd
Suite 100
Jacksonville, FL 32244-3324
Phone (904) 389-1010
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Interventional Pain Medicine Physician
- Richmond Hill, GA
- NPI 1942670658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442275200000",
"number": "1477922920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7207 GOLDEN WINGS RD",
"address_2": "SUITE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322443324",
"telephone_number": "904-389-1010",
"fax_number": "904-389-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2453 US HIGHWAY 17",
"address_2": "SUITE G",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313245959",
"telephone_number": "904-389-1010",
"fax_number": "904-389-1082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE SPINE & PAIN PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A",
"authorized_official_last_name": "KRAMARICH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "904-389-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.