Michael V Riesberg MD Otolaryngology & Performing Arts Medicine

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MICHAEL V RIESBERG MD OTOLARYNGOLOGY & PERFORMING ARTS MEDICINE

Practice address

4900 N. Davis Highway
Pensacola, FL 32503-2344

Phone

(850) 476-0700

Fax

(850) 476-4300

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Michael V Riesber, MD

Title

President

Phone

(850) 476-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

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

• Michael Van Riesberg, M.D.

  • Otolaryngology Physician
  • Pensacola, FL
  • NPI 1407831191
  Medicare reassignment Care Compare group NPD
• Star Heather Lange-Richey

  • Audiologist
  • Pensacola, FL
  • NPI 1265847347
  Medicare reassignment Care Compare group
• Mark Manabu Goto, M.D.

  • Otolaryngology Physician
  • Pensacola, FL
  • NPI 1033189758
  Medicare reassignment
• Sarah Elizabeth Lemon, APRN

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1659181998
  Medicare reassignment

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1497990972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1759",
            "address_2": "DEPARTMENT 952",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772511759",
            "telephone_number": "713-554-5304",
            "fax_number": "713-554-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N. DAVIS HIGHWAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032344",
            "telephone_number": "850-476-0700",
            "fax_number": "850-476-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL V RIESBERG MD OTOLARYNGOLOGY & PERFORMING ARTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "RIESBER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-476-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44913",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mghmi
• Mghmi, LLC
• Munira T Mian, M.D.
• Michael L Dupuis MD PA
• Michael P Conrad MD PA
• Susan Michaels, ARNP, PMHNP
• Cheyanne Michaelson
• Audrey E Michal, MD
• Patricia Michel-Garrison, D.O.
• Habakuk Michel, MD

• Otolaryngology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.