Riverside Pediatrics, Inc in Sedalia - Primary Care
Riverside Pediatrics, Inc - NPI 1790742971
Riverside Pediatrics, Inc is a Primary Care in Sedalia, Missouri. Riverside Pediatrics, Inc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Riverside Pediatrics, Inc is 1790742971. The last update date is 2020-08-22.
Riverside Pediatrics, Inc's current location address is 2873 S Ingram Ave, Sedalia, Missouri. You can contact this provider via phone number 6608260027 and fax number 6608261494. The mailing address for Riverside Pediatrics, Inc is 2873 S Ingram Ave, Sedalia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverside Pediatrics, Inc |
|---|---|
| Address | 2873 S Ingram Ave, Sedalia, Missouri |
| Phone Number | 6608260027 |
| Fax Number | 6608261494 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ebrahimi Mansour Ali |
| Credentials | MD |
| Telephone Number | 6608260027 |
NPI Number Detail
| NPI Number | 1790742971 |
|---|---|
| Provider Enumeration Date | 2006-04-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2873 S Ingram Ave |
|---|---|
| City | Sedalia |
| State | Missouri (MO) |
| Post Code | 653018480 |
| Phone Number | 6608260027 |
| Fax Number | 6608261494 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 101862 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 187630 | MO | HEALTHLINK INSURANCE | |
| 29832018 | MO | BLUE CROSS BLUE SHIELD | |
| 1200288 | MO | UNITED INSURANCE | |
| 1922V3799 | MO | HEALTHCARE USA | |
| 101990 | MO | FIRSTGUARD INSURANCE |
Post Comment/ Review Below
What is the unique identifier code issued to Riverside Pediatrics, Inc by the Centers for Medicare & Medicaid Services?
The Riverside Pediatrics, Inc has been assigned the NPI (National Provider Identifier) 1790742971. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Riverside Pediatrics, Inc?
The Riverside Pediatrics, Inc is situated at 2873 S Ingram Ave, in the city of Sedalia, state of MO, with the zip code 653018480.
What is Riverside Pediatrics, Inc's area of expertise and its corresponding taxonomy classification?
The Riverside Pediatrics, Inc's field of specialization is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their areas of practice.
On what date did Riverside Pediatrics, Inc receive its 1790742971 assignment from the Centers for Medicare & Medicaid Services?
The Riverside Pediatrics, Inc was assigned its 1790742971 on 2006-04-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Riverside Pediatrics, Inc last refreshed?
The information related to the Riverside Pediatrics, Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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