NPIMap

Organization Active NPI

Riverside Spine & Pain Physicians, LLC

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1619343886
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RIVERSIDE SPINE & PAIN PHYSICIANS, LLC
Practice address
12078 San Jose Blvd
Suite 2
Jacksonville, FL 32223-8670
Phone
(904) 389-1010
Fax
(904) 389-1082
NPI assigned
Aug 11, 2015
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Stephen Scott Kramarich, M.D.NPI 1851398267
Title
Medical Director
Phone
(904) 389-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

12078 San Jose Blvd
Suite 2
Jacksonville, FL 32223-8670

Mailing address

7207 Golden Wings Rd
Suite 100
Jacksonville, FL 32244-3324
Phone (904) 389-1010

National Provider Directory

National Provider Directory

Locations

12078 San Jose Blvd
Ste 2
Jacksonville, FL 32223
Phone (904) 647-9199

13133 Professional Dr
Ste 200
Jacksonville, FL 32225

7751 Baymeadows Rd E
#104
Jacksonville, FL 32256

7751 Baymeadows Rd E
Ste 103
Jacksonville, FL 32256

105 Mariner Health Way
Ste 203
St Augustine, FL 32086
Phone (904) 342-2989

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1619343886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 GOLDEN WINGS RD",
            "address_2": "SUITE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443324",
            "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": "12078 SAN JOSE BLVD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238670",
            "telephone_number": "904-389-1010",
            "fax_number": "904-389-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SPINE & PAIN PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2017-01-20",
        "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_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Jan 20, 2017; 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.