Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Riverside Medical Clinic

Family Medicine Physician in Lake City, AR · enumerated 2010 · authorized official Tommy Wagner, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811206923

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Riverside Medical Clinic

Practice address 803 Hwy 18, Lake City, AR, 72347

Phone (870) 237-1055

Fax (870) 237-1054

Enumeration date Oct 7, 2010

Last updated in NPPES Aug 2, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Tommy Wagner

Title Owner

Phone (870) 561-3300

Other identifiers

Identifier	Type	State	Issuer
187113002	Medicaid	AR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-08-02. Verify at npiregistry.cms.hhs.gov.

Where is Riverside Medical Clinic located?

The practice location on file with NPPES is in Lake City, AR.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-02.