Riverview Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RIVERVIEW SURGERY CENTER LLC

Practice address

1276 N Plaza Dr
Rockport, IN 47635

Phone

(812) 649-2500

Fax

(812) 649-9427

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shane David Boles, MD

Title

MD

Phone

(812) 644-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Riverview Surgery Center LLCCCN 15C0001180

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1669748125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 N PLAZA DRIVE",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "47635",
            "telephone_number": "812-649-2500",
            "fax_number": "812-649-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N PLAZA DR",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "47635",
            "telephone_number": "812-649-2500",
            "fax_number": "812-649-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "812-644-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Scott R Sovar, DC

• Ambulatory Surgical Clinic/Center in Rockport, IN
• Providers in Rockport, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.