RIVERVIEW CARDIAC SURGERY PA – NPI #1922053115
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

RIVERVIEW CARDIAC SURGERY PA is a thoracic surgeon located in BRADENTON, FL. NPPES has assigned the NPI number 1922053115 to RIVERVIEW CARDIAC SURGERY PA on May 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was last updated on Nov 25, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERVIEW CARDIAC SURGERY PA below.

NPI Profile for
RIVERVIEW CARDIAC SURGERY PA

NPI Number
1922053115
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVERVIEW CARDIAC SURGERY PA
Primary location
300 RIVERSIDE DR E STE 3100
BRADENTON, FL 34208-1024
Phone: (941) 744-2640 Fax: (941) 744-2650
3 Other location(s):
250 2nd St E Ste 4G
Bradenton, FL 34208-1028
Phone: (941) 744-2640
Fax: (941) 744-2650
3052 Harbor Blvd Ste 2
Port Charlotte, FL 33952-6758
Phone: (941) 744-2640
Fax: (941) 744-2650
2237 US Highway 27 S
Sebring, FL 33870-4936
Phone: (941) 744-2640
Fax: (941) 744-2650
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DARYN MULLHOLAND
CREDENTIALING
Phone: (727) 647-1188
Updated
Certification Date
Nov 25, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.