Riverside Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1034 Issued in FL

Legal business name

RIVERSIDE SURGERY CENTER INC

Practice address

14410 US Highway 1
Sebastian, FL 32958-3237

Phone

(772) 589-8111

Fax

(772) 589-7561

NPI assigned

Oct 21, 2005

Last updated

Dec 4, 2012By 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. Trish A Daniels

Title

Administrator

Phone

(772) 589-8111

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Riverside Surgery Center IncCCN 10C0001268

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

Practitioners 4

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.

• Brett E Steinwand, M.D.

  • Ophthalmology Physician
  • Sebastian, FL
  • NPI 1932199916
  NPD
• Ralph B Monnett Jr., M.D.

  • Ophthalmology Physician
  • Sebastian, FL
  • NPI 1326038373
  NPD (past)
• Armando Pardillo, MD

  • Anesthesiology Physician
  • Vero Beach, FL
  • NPI 1699743583
  NPD (past)
• Stephen James Winslow Jr., M.D.

  • Ophthalmology Physician
  • Sebastian, FL
  • NPI 1053541946
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1700876703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14410 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583237",
            "telephone_number": "772-589-8111",
            "fax_number": "772-589-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583237",
            "telephone_number": "772-589-8111",
            "fax_number": "772-589-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "TRISH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-589-8111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI FACILITY NUMBER",
            "identifier": "0499360",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F1268",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY NUMBER",
            "identifier": "67R",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001577500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "490005283",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rivers Edge DPC Inc
• Riverside Dental
• Riverside Dental Arts PLLC
• Riverside Eye Center PLLC (Riverside Eye Center)
• Riverside Family Dental, P.a.
• Riverside Surgical and Weight Loss Center,LLC
• Riverview Family Dental, PLLC
• Mohammad Nasir Rizwi, M.D.
• Roberta S Rose DO
• Brittany Robinson, RDN, LD/N

• Ambulatory Surgical Clinic/Center in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.