Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Medical Clinic

Organization Family Medicine Physician · NPI 1811206923

Riverside Medical Clinic provides Family Medicine Physician services in Lake City, Arkansas. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

803 Hwy 18
Lake City, AR 72347-0505 Not confirmed with CMS for 15 years — call before visiting
Phone: (870) 237-1055
Fax: (870) 237-1054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1811206923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tommy Wagner — Owner · (870) 561-3300
NPI enumeratedOctober 7, 2010
Last updated in NPPESAugust 2, 2011
Mailing addressPo Box 910, Manila, AR 72442-0910

Other providers in Lake City