River2 Emergency Physicians LLP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

RIVER2 EMERGENCY PHYSICIANS LLP

Practice address

405 West Jackson Street
Carbondale, IL 62901-1467

Phone

(618) 549-0721

Fax

(618) 457-0469

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Derik K King, MD

Title

LLP Managing Partner

Phone

(866) 916-5259

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1649569443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR # 3274",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606753274",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WEST JACKSON STREET",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011467",
            "telephone_number": "618-549-0721",
            "fax_number": "618-457-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER2 EMERGENCY PHYSICIANS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LLP MANAGING PARTNER",
        "authorized_official_telephone_number": "866-916-5259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Erin Ridgeway, MS ED
• Andrew Ray Riffey, MD
• Kathleen Chwalisz Rigney, PH.D.
• Joel Eric Ringdahl, PHD
• Timothy Scott Rittenhouse, LCPC
• Samantha Roach-Merter, DNAP, CRNA
• Roni Lee Robbins, MS
• Isaac A Roberg, PA
• Kelsey Robertson
• Morgan Alexandra Robertson

• Emergency Medicine Physician in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.