Riverside Medical Clinic
NPI 1811206923 · Family Medicine Physician · Lake City, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riverside Medical Clinic is a Family Medicine Physician organization in Lake City, AR (NPI 1811206923).
Provider details
- NPI number
- 1811206923
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tommy Wagner, Owner(870) 561-3300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-10-07
- Last updated
- 2011-08-02
Frequently asked questions
- What is Riverside Medical Clinic's NPI number?
- Riverside Medical Clinic's National Provider Identifier (NPI) is 1811206923, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside Medical Clinic?
- Riverside Medical Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Riverside Medical Clinic located?
- Riverside Medical Clinic's practice location on file with NPPES is 803 Hwy 18, Lake City, AR 72347-0505.
- What is Riverside Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Riverside Medical Clinic is (870) 237-1055.
- Does Riverside Medical Clinic accept Medicare?
- Riverside Medical Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Riverside Medical Clinic?
- The authorized official listed on Riverside Medical Clinic's NPPES record is Tommy Wagner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside Medical Clinic's NPI active?
- Yes — Riverside Medical Clinic's NPI (1811206923) is active in the NPPES registry as of the last update on 2011-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.