Riva Konoval, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 2685 Issued in FL

Practice address

3500 N State Road 7
Ste 211
Lauderdale Lakes, FL 33319-5625

Phone

(954) 766-4233

Fax

(954) 306-2056

NPI assigned

Jul 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunshine Medical and Chiropractic Care Inc,.

  • Family Medicine Physician
  • Lauderdale Lakes, FL
  • NPI 1245495746
  NPD

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1487942256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N STATE ROAD 7",
            "address_2": "STE 211",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195625",
            "telephone_number": "954-766-4233",
            "fax_number": "954-306-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N STATE ROAD 7",
            "address_2": "STE 211",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195625",
            "telephone_number": "954-766-4233",
            "fax_number": "954-306-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOVAL",
        "first_name": "RIVA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 2685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA 2685",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William V King
• Dhanpattie Kissoon, FNP
• Shelby Knowles, M.D.
• Phoebe Marie Knox, FNP
• Margarita Kogan, DO
• Bela L Kovacs, MD
• Victoria Gabriella Kremer
• Kenneth T Kronheim
• Kumar Rajagopalan MD PA (Continuum Medical Group)
• Rubens Laguerre

• Physician Assistant in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.