Organization Active NPI

Riversong Plastic Surgery, PC

  • Plastic Surgery Physician
  • Newburyport, MA
National Provider Identifier
1982770046
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RIVERSONG PLASTIC SURGERY, PC
Practice address
21 Highland Ave
Suite 3-4a
Newburyport, MA 01950-3872
Phone
(978) 462-8300
Fax
(978) 462-8301
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Ms. Kay L. Wood
Title
Office Manager
Phone
(978) 462-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

21 Highland Ave
Suite 3-4a
Newburyport, MA 01950-3872

Mailing address

21 Highland Ave
Suite 3-4a
Newburyport, MA 01950-3872
Phone (978) 462-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000141 MA Part B Supplier - Clinic/Group Practice 5799680682 Receives reassigned benefits from 4 practitioners
Practice locations: Newburyport, MA

National Provider Directory

National Provider Directory

Locations

21 Highland Ave
Ste 3-4
Newburyport, MA 01950
Phone (978) 462-8300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHFBAA

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1982770046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 3-4A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-462-8300",
            "fax_number": "978-462-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 3-4A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-462-8300",
            "fax_number": "978-462-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSONG PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-462-8300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.