Active NPI
Riversong Plastic Surgery, PC
- Plastic Surgery Physician
- Newburyport, MA
National Provider Identifier
1982770046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
21 Highland Ave
Ste 3-4
Newburyport, MA 01950
Phone (978) 462-8300
Interoperability endpoints
- 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.
-
- Plastic Surgery Physician
- Newburyport, MA
- NPI 1477965473
Single Specialty
-
- Plastic Surgery Physician
- Newburyport, MA
- NPI 1649277542
-
- Surgical Physician Assistant
- Newburyport, MA
- NPI 1144558107
-
- Women's Health Nurse Practitioner
- Beverly, MA
- NPI 1184887598
-
- Plastic Surgery Physician
- Newburyport, MA
- NPI 1275530172
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.