Organization Active NPI

Hilton Head Regional Physician Network - Georgia, LLC

Doing business as Riverside Womens Care

  • Surgery Physician
  • Pooler, GA
National Provider Identifier
1912485830
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HILTON HEAD REGIONAL PHYSICIAN NETWORK - GEORGIA, LLC
Doing business as
Riverside Womens Care
Practice address
1000 Towne Center Blvd Ste 604B
Pooler, GA 31322-4052
Phone
(912) 450-0957
Fax
(912) 450-0967
NPI assigned
Aug 2, 2018
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Brian Rasmus
Title
VP, Cfo TPR Tenet
Phone
(469) 893-2532

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X
Surgery Physician 208600000X Primary

Addresses

Primary practice location

1000 Towne Center Blvd Ste 604B
Pooler, GA 31322-4052

Mailing address

PO Box 23894
Belfast, ME 04915-4489
Phone (708) 342-6900

Other names 1

  • Riverside Womens Care Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Towne Center Blvd
Ste 604A
Pooler, GA 31322
Phone (912) 450-4450

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1912485830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23894",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154489",
            "telephone_number": "708-342-6900",
            "fax_number": "708-614-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 604B",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224052",
            "telephone_number": "912-450-0957",
            "fax_number": "912-450-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON HEAD REGIONAL PHYSICIAN NETWORK - GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "RASMUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP, CFO TPR TENET",
        "authorized_official_telephone_number": "469-893-2532"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Womens Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.