RIVERSIDE HOSPITAL, INC (NPI# 1033515101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033515101 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE HOSPITAL, INC |
| Other Organization Name | RIVERSIDE CANCER INFUSION CENTER-SUFFOLK |
| Practice Address |
5835 Harbour View Blvd Suite C1 Suffolk VA 23435-2601 |
| Mailing Address |
608 Denbigh Boulevard Suite 800 Newport News VA 23608-4487 |
| Practice Telephone | 7578757545 |
| Mailing Telephone | 7578757545 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | MR. WALTER W AUSTIN JR. (SENIOR VP/CFO) |
| Authorized Official Telephone | 7578757545 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H1887 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4900529 | 05 |
| Other Name | Type Code |
|---|---|
| Riverside Cancer Infusion Center-Suffolk | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316343478 | Riverside Hospital, Inc | General Acute Care Hospital | 1200 First Colonial Rd, Suite 204a, Virginia Beach, VA 23454-2207 | 2014-11-17 |
| 1952707002 | Riverside Hospital, Inc | General Acute Care Hospital | 120 Kings Way, Suite 3100a, Williamsburg, VA 23185-2505 | 2014-11-17 |
| 1851797922 | Riverside Hospital, Inc | General Acute Care Hospital | 110 Wimbledon Sq, Suite E1, Chesapeake, VA 23320-4946 | 2014-11-17 |
| 1942606017 | Riverside Hospital, Inc | General Acute Care Hospital | 7544 Medical Dr, Suite B1, Gloucester, VA 23061-4299 | 2014-11-17 |
| 1679979744 | Riverside Hospital, Inc | General Acute Care Hospital | 12100 Warwick Blvd, Suite 210b, Newport News, VA 23601-2365 | 2014-11-17 |
| 1578999009 | Riverside Hospital, Inc | Pharmacy | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2013-09-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVERSIDE HOSPITAL, INC. | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 |
| Street Address |
5835 HARBOUR VIEW BLVD SUITE C1 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003864372 | James J Stark | Internal Medicine | 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435-2657 | 2006-05-05 |
| 1134743768 | Courtney Kelly | Speech-Language Pathologist | 5835 Harbour View Blvd, Suffolk, VA 23435-2601 | 2020-05-29 |
| 1477700193 | Rebecca J Gray | Physical Therapist | 5835 Harbour View Blvd, A, Suffolk, VA 23435-2601 | 2008-08-25 |
| 1770770281 | Aisha Salman Zaidi | Internal Medicine | 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435-2601 | 2007-09-28 |
| 1134201817 | Susan M Lundgren | Nurse Practitioner | 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435-2601 | 2006-10-20 |
| 1144252594 | James J Stark Md PC | Internal Medicine | 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435-2657 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540138 | Sentara Hospitals | General Acute Care Hospital | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2005-07-07 |
| 1194287417 | Sentara Obici Surgery Ctr - Navy Resource Sharing | General Acute Care Hospital | 2750 Godwin Blvd, Suffolk, VA 23434-8036 | 2019-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
| 1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
| 1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
| 1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
| 1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
| 1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.