Organization Active NPI

Riverview Medical, Inc

  • Internal Medicine Physician
  • Riverview, FL
National Provider Identifier
1972989713
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME54579 Issued in FL
Legal business name
RIVERVIEW MEDICAL, INC
Practice address
10732 Ketchum Valley Dr
Riverview, FL 33579-7185
Phone
(813) 677-2700
Fax
(813) 677-6355
NPI assigned
Aug 4, 2015
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Steven Joseph MinafriNPI 1124043211
Title
President
Phone
(813) 677-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME54579 FL Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA91008766 FL

Addresses

Primary practice location

10732 Ketchum Valley Dr
Riverview, FL 33579-7185

Mailing address

10732 Ketchum Valley Dr
Riverview, FL 33579-7185
Phone (813) 677-2700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1972989713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10732 KETCHUM VALLEY DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797185",
            "telephone_number": "813-677-2700",
            "fax_number": "813-677-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10732 KETCHUM VALLEY DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797185",
            "telephone_number": "813-677-2700",
            "fax_number": "813-677-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "MINAFRI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-677-2700"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME54579",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA91008766",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 24, 2016; 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.