Riverside Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RIVERSIDE SURGERY CENTER, LLC

Doing business as

Riverside Surgery Center

Practice address

3556 Riverside Dr
Macon, GA 31210-2509

Phone

(478) 475-9204

Fax

(478) 475-9572

NPI assigned

Jun 18, 2015

Last updated

Jul 13, 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

Ms. Jana Sue Taylor

Title

Credentialing Specialist

Phone

(678) 426-2188

Specialties & licenses 1

Addresses

Other names 1

• RIVERSIDE SURGERY CENTER Doing business as

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1609257310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102509",
            "telephone_number": "678-426-2188",
            "fax_number": "770-874-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102509",
            "telephone_number": "478-475-9204",
            "fax_number": "478-475-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "678-426-2188",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eduardo Emanuel Rivera
• Lauren D Rivera, PA-C
• Riverdale Radiology Center
• Angela G Rivers, NP
• Riverside Imaging Specialists, LLC
• Michael H. Rivner, MD
• Chelsea Rizkalla, NP-C
• Ahraz Rizvi, MD
• Syed W. Rizvi, M.D.
• Veronica M Roach

• Ambulatory Surgical Clinic/Center in Macon, GA
• Providers in Macon, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.