NPIMap

Organization Active NPI

Family Medical Care of Riverview PA

  • Family Medicine Physician
  • Riverview, FL
National Provider Identifier
1922192574
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL CARE OF RIVERVIEW PA
Practice address
7229 US Highway 301 S
Riverview, FL 33578-4346
Phone
(813) 677-8418
Fax
(813) 677-8419
NPI assigned
Oct 3, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Eddie G. Louderback, C.M.M.
Title
Office Administrator
Phone
(813) 677-8418

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

7239 US Highway 301 S
Riverview, FL 33578
Phone (813) 677-8418

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X FL Primary

Addresses

NPPES NPI Registry

Primary practice location

7229 US Highway 301 S
Riverview, FL 33578-4346

Mailing address

7229 US Highway 301 S
Riverview, FL 33578-4346
Phone (813) 677-8418

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
263029000MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2010.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1922192574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 US HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784346",
            "telephone_number": "813-677-8418",
            "fax_number": "813-677-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 US HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784346",
            "telephone_number": "813-677-8418",
            "fax_number": "813-677-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE OF RIVERVIEW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "LOUDERBACK",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "813-677-8418",
        "authorized_official_credential": "C.M.M."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263029000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.