Active NPI
Hilton Head Regional Physician Network - Georgia, LLC
Doing business as Riverside Womens Care
- Surgery Physician
- Pooler, GA
National Provider Identifier
1912485830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.