NPIMap

Organization Active NPI

Riverside Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1548594880
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1320 Issued in FL
Legal business name
RIVERSIDE SURGICAL CENTER
Practice address
7207 Golden Wings Road
Suite 200
Jacksonville, FL 32244
Phone
(904) 389-1010
Fax
(904) 389-1082
NPI assigned
Sep 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Dr. Stephen Scott Kramarich, MD
Title
Medical Director
Phone
(904) 389-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1320 FL Primary

Addresses

Primary practice location

7207 Golden Wings Road
Suite 200
Jacksonville, FL 32244

Mailing address

7207 Golden Wings Road
Suite 200
Jacksonville, FL 32244
Phone (904) 389-1010

National Provider Directory

National Provider Directory
Tax ID family
Riverside Surgical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1548594880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 GOLDEN WINGS ROAD",
            "address_2": "SUITE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32244",
            "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": "7207 GOLDEN WINGS ROAD",
            "address_2": "SUITE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32244",
            "telephone_number": "904-389-1010",
            "fax_number": "904-389-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.