Provider Demographics
NPI:1982602082
Name:RIVERBEND HEALTH CARE PC
Entity Type:Organization
Organization Name:RIVERBEND HEALTH CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-323-8935
Mailing Address - Street 1:44344 DEQUINDRE RD
Mailing Address - Street 2:SUITE 480
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1003
Mailing Address - Country:US
Mailing Address - Phone:586-323-8935
Mailing Address - Fax:586-323-9058
Practice Address - Street 1:44344 DEQUINDRE RD
Practice Address - Street 2:SUITE 480
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1003
Practice Address - Country:US
Practice Address - Phone:586-323-8935
Practice Address - Fax:586-323-9058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION2365002Medicare PIN
MIG49354Medicare UPIN