Provider Type Icon

RIVERSIDE SPINE & PHYSICAL MEDICINE PC NPI 1720407570


NPI Information

NPI: 1720407570
Provider Name: RIVERSIDE SPINE & PHYSICAL MEDICINE, PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 44D2234080

Address:
625 N RIVERSIDE DR
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 542-9420
Get Directions

RIVERSIDE SPINE & PHYSICAL MEDICINE, PC is an orthopaedic surgery in Clarksville, TN. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. RIVERSIDE SPINE & PHYSICAL MEDICINE, PC NPI is 1720407570. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

625 N RIVERSIDE DR
CLARKSVILLE, TN
ZIP 37040-127
Phone: (931) 542-9420
Fax: (931) 542-9422

The provider's authorized official is David M Allen .
The authorized official title is President and has the following contact phone number (931) 542-9420.

The CLIA number assigned to this NPI record is 44D2234080 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2014 and was last updated on 11/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryMD28572TENNESSEEYes
2208100000XPhysical Medicine & RehabilitationNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.