RIVERSIDE ANESTHESIA SERVICES, LLC
NPI 1134478209
Nurse Anesthetist, Certified Registered in Jacksonville, FL

NPI Status: Active since September 05, 2012

Contact Information

7207 GOLDEN WINGS RD
STE 200
JACKSONVILLE, FL
ZIP 32244
Phone: (904) 389-1010
Fax: (904) 771-2191

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  • Organization
  • Nurse Anesthetist, Certified Registered
  • CLIA Number: 10D2004362
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-02-2026

About RIVERSIDE ANESTHESIA SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Riverside Anesthesia Services, Llc, a provider established in Jacksonville, Florida operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1134478209 assigned on September 2012. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Riverside Anesthesia Services, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ronak A Patel Do (Medical Director)

NPI
1134478209
Provider Name
RIVERSIDE ANESTHESIA SERVICES, LLC
Entity Type
Organization
Location Address
7207 GOLDEN WINGS RD STE 200 JACKSONVILLE, FL 32244
Location Phone
(904) 389-1010
Location Fax
(904) 771-2191
Mailing Address
PO BOX 864848 ORLANDO, FL 32886
Mailing Phone
(239) 610-0775
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2012
Last Update Date
05-25-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RONAK A PATEL DO

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(904) 389-1010

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2004362
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 03, 2024
Certificate Expiration Date
March 02, 2026
Laboratory Director
COLE R. LINVILLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Riverside Anesthesia Services, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134478209, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 8 + 7 + 1 + 6 + 2 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1134478209.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Massage Therapist
7207 GOLDEN WINGS RD, SUITE#300
JACKSONVILLE, FL 32244
Physical Therapist
7207 GOLDEN WINGS RD, SUITE 300
JACKSONVILLE, FL 32244
Nurse Practitioner (Adult Health)
7207 GOLDEN WINGS RD, SUITE 100
JACKSONVILLE, FL 32244
Physician Assistant (Medical)
7207 GOLDEN WINGS RD, SUITE 100
JACKSONVILLE, FL 32244

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134478209, enumerated as an "organization" on September 05, 2012.

The provider is located at 7207 GOLDEN WINGS RD STE 200 JACKSONVILLE, FL 32244 and the phone number is (904) 389-1010.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.