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RIVERSIDE FAMILY PRACTICE, PC
NPI 1245286210
Family Medicine in Cape Girardeau, MO

Active since May 25, 2006CLIA 26D0441933 · Microscopy
3129 BLATTNER DR, CAPE GIRARDEAU, MO 63703(573) 335-0166(573) 335-7942 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Riverside Family Practice, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE FAMILY PRACTICE, PC (NPI 1245286210) is a healthcare organization registered as a family medicine in Cape Girardeau, Missouri and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through March 31, 2028 and lists James E Palen, Owner, as its authorized official.

NPPES Registry Identity

NPI1245286210
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRIVERSIDE FAMILY PRACTICE, PC
Location Address3129 BLATTNER DRCape Girardeau, MO 63703-6364
Mailing Address3129 Blattner DrCape Girardeau, MO 63703-6364 · (573) 335-0166 · Fax (573) 335-7942
Phone(573) 335-0166
Fax(573) 335-7942
Organization SubpartNo
Authorized OfficialJames E PalenOwner · (573) 335-0166
Enumeration DateMay 25, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1245286210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 32836
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2000160642 (MO)
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 2000160642 (MO)
3129 BLATTNER DR, Cape Girardeau, MO 63703
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Other Identifiers 2

Other132330MO · Blue Cross Blue Shield
OtherCI5917MO · Railroad Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D0441933

Riverside Family Practice, PC · Cape Girardeau, MO
Active · expires Mar 31, 2028
CLIA Number26D0441933
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorJames E. Palen
Laboratory Phone(573) 335-0166
Laboratory LocationRiverside Family Practice, PC3129 Blattner Drive, Cape Girardeau, MO 63703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI A MOYERS DO
Family Medicine
3129 BLATTNER DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 335-0166
DR. JAMES E PALEN M.D.
Family Medicine
3129 BLATTNER DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 335-0166
PAMELA KAY HIMSTEDT FNP-BC
Nurse Practitioner (Family)
3129 BLATTNER DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 335-0166
RIVERSIDE FAMILY MEDICINE PC
Family Medicine
3129 BLATTNER DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 335-0166
DR. JAMES RICHARD PALEN M.D.
Family Medicine
3129 BLATTNER DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 335-0166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Family Practice, PC's NPI number?

The NPI number for Riverside Family Practice, PC is 1245286210. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Riverside Family Practice, PC located?

Riverside Family Practice, PC is located at 3129 Blattner Dr, Cape Girardeau, MO 63703. The listed phone number is (573) 335-0166.

What is Riverside Family Practice, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Riverside Family Practice, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0441933) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Family Practice, PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.