Riva Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D40733 Issued in MD

Legal business name

RIVA MEDICAL, LLC

Practice address

3169 Braverton St
Suite 102
Edgewater, MD 21037-2679

Phone

(410) 956-9566

Fax

(443) 716-2595

NPI assigned

Dec 12, 2006

Last updated

Aug 22, 2020By 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

Dr. Whay Han Jones, MD

Title

Owner

Phone

(410) 956-9566

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Evonne L. Crump, D.O.

  • Occupational Medicine Physician
  • Lanham, MD
  • NPI 1033236153
  NPD (past)
• Moya Elizabeth Sommerville-Kelley, M.D.

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1699753921
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780744318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 BRAVERTON ST",
            "address_2": "SUITE 102",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372679",
            "telephone_number": "410-956-9566",
            "fax_number": "443-716-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 BRAVERTON ST",
            "address_2": "SUITE 102",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372679",
            "telephone_number": "410-956-9566",
            "fax_number": "443-716-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVA MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WHAY",
        "authorized_official_middle_name": "HAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-956-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D40733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Project Chesapeake, LLC
• Allison Lee Rapp, LCPC-S
• Francis S Reicherter, PTA
• Revive Institute of Sexual Health, LLC
• Rita Shkullaku MD PC
• Kimberly Robrecht, M.P.T.
• Ursula Rocha, WHNP
• Ashlee Christine Rodriguez, LMSW
• Charles Lawson Rogers, M. D,
• Samantha Marie Plant Rose, CRNP

• Family Medicine Physician in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.