NPIMap

Organization Active NPI

Riverside Spine Georgia

  • Interventional Pain Medicine Physician
  • Richmond Hill, GA
National Provider Identifier
1942670658
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
047638 Issued in GA
Legal business name
RIVERSIDE SPINE GEORGIA
Practice address
2453 US Highway 17
Suite G
Richmond Hill, GA 31324-5959
Phone
(904) 389-1010
Fax
(904) 389-1082
NPI assigned
Oct 7, 2015
Organization subpart
Yes
Parent organization
RIVERSIDE SPINE & PAIN PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Mr. Jason A Steiger
Title
Chief Executive Officer
Phone
(904) 389-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 047638 GA Primary

Addresses

Primary practice location

2453 US Highway 17
Suite G
Richmond Hill, GA 31324-5959

Mailing address

6195 Lake Gray Blvd
Suite 4
Jacksonville, FL 32244-5891
Phone (904) 389-1010

National Provider Directory

National Provider Directory
Tax ID family
Riverside Spine Georgia2 organizations share this tax ID, including this one
Part of
Riverside Spine Georgia

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1942670658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6195 LAKE GRAY BLVD",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445891",
            "telephone_number": "904-389-1010",
            "fax_number": "904-389-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 US HIGHWAY 17",
            "address_2": "SUITE G",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313245959",
            "telephone_number": "904-389-1010",
            "fax_number": "904-389-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SPINE GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE SPINE & PAIN PHYSICIANS",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "STEIGER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "904-389-1010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "047638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.