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

Riverside Family Practice, PC

Organization Family Medicine Physician · NPI 1245286210

Riverside Family Practice, PC is a Family Medicine Physician in Cape Girardeau, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3129 Blattner Dr
Cape Girardeau, MO 63703-6364
Phone: (573) 335-0166
Fax: (573) 335-7942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 32836 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2000160642 (MO)
Nephrology Physician Taxonomy 207RN0300X · Licence 2000160642 (MO)

Record details

NPI number1245286210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Palen — Owner · (573) 335-0166
NPI enumeratedMay 25, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address3129 Blattner Dr, Cape Girardeau, MO 63703-6364

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