Organization Active NPI

River Family Physicians PA

  • Family Medicine Physician
  • Easton, MD
National Provider Identifier
1497875561
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RIVER FAMILY PHYSICIANS PA
Practice address
555 Cynwood Dr
Easton, MD 21601-3801
Phone
(410) 820-7270
Fax
(410) 820-4589
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Mrs. Christy Johnson
Title
Billing Manager
Phone
(410) 820-7270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

555 Cynwood Dr
Easton, MD 21601-3801

Mailing address

555 Cynwood Dr
Easton, MD 21601-3801
Phone (410) 820-7270

Other identifiers 1

IdentifierTypeStateIssuer
453001200MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1497875561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CYNWOOD DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013801",
            "telephone_number": "410-820-7270",
            "fax_number": "410-820-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CYNWOOD DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013801",
            "telephone_number": "410-820-7270",
            "fax_number": "410-820-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FAMILY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-820-7270",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "453001200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.