Riverside Surgical Associates, PC.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5101017755 Issued in MI

Legal business name

RIVERSIDE SURGICAL ASSOCIATES, PC.

Practice address

18025 Fort St Ste B
Riverview, MI 48193-7432

Phone

(219) 902-9663

NPI assigned

Feb 9, 2015

Last updated

Nov 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Donald Kaminsky, D.O.

Title

President

Phone

(219) 902-9663

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1508257882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18025 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937432",
            "telephone_number": "734-785-8251",
            "fax_number": "734-785-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18025 FORT ST STE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937432",
            "telephone_number": "219-902-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SURGICAL ASSOCIATES, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "KAMINSKY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-902-9663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101017755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Leigh Rhodes, FNP
• Richard P. Laskowski, D.O.,P.C.
• Colleen Richards, LMT
• Kyle James Richards
• Riverside Hearing Services
• Riverview Adult Day & Health Center Inc.
• Riverview Health Pharmacy LLC
• Riverview Medical Investors Limited Partnership (Rivergate Health Care Center)
• Riverview Medical Investors Limited Partnership (Rivergate Terrace)
• Riverview Pediatric Dental Care PC

• Surgery Physician in Riverview, MI
• Providers in Riverview, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.