RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1164693206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164693206 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | DRS WETCHLER AND DINEEN |
| Practice Address |
12700 Mcmanus Blvd Suite 102a Newport News VA 23602-4407 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7578748696 |
| Practice Fax Number | 7578729907 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575942195 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | MICHAEL J DOUCETTE (VICE PRESIDENT) |
| Authorized Official Telephone | 7575944006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Drs Wetchler and Dineen | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295139087 | Riverside Physician Services Inc | Physical Medicine & Rehabilitation | 109 Philip Roth St Ste 490, Newport News, VA 23606-1393 | 2014-10-22 |
| 1588914378 | Riverside Physician Services Inc | Orthopaedic Surgery | 11224 Lankford Hwy, Temperanceville, VA 23422 | 2012-09-19 |
| 1003118860 | Riverside Physician Services Inc | Internal Medicine | 4917 Richmond Tappahannock Hwy, Suite 1-b, Aylett, VA 23009-3416 | 2010-11-30 |
| 1114170446 | Riverside Physician Services Inc | Psychiatry & Neurology | 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 | 2008-10-30 |
| 1114170552 | Riverside Physician Services Inc | Otolaryngology | 7552 Hospital Dr Ste 302, Gloucester, VA 23061-4178 | 2008-10-29 |
| 1851314934 | Riverside Physician Services Inc | Urology | 668 Hospital Road, Bldg B Suite 300, Tappahannock, VA 22560 | 2006-07-26 |
| 1245252253 | Riverside Physician Services Inc | Obstetrics & Gynecology | 648 Hospital Road, Suite B-305, Tappahannock, VA 22560 | 2006-07-25 |
| 1104847854 | Riverside Physician Services Inc | Surgery | 7547 Medical Drive, Suite 1500, Gloucester, VA 23061 | 2006-07-21 |
| 1609897347 | Riverside Physician Services Inc | Orthopaedic Surgery | 7554 Hospital Drive, Suite 202a, Gloucester, VA 23061 | 2006-07-21 |
| 1699796359 | Riverside Physician Services Inc | Internal Medicine | 7560 Hospital Drive, Suite 101, Gloucester, VA 23061 | 2006-07-21 |
| Street Address |
12700 MCMANUS BLVD SUITE 102A |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508863853 | Patrice Chance Malena | Nurse Practitioner | 12700 Mcmanus Blvd, Suite 102 A, Newport News, VA 23602-4407 | 2005-07-01 |
| 1134375173 | Wright Spine and Sports Health, PC | Chiropractor | 12700 Mcmanus Blvd, Suite 101, Newport News, VA 23602-4407 | 2008-08-11 |
| 1407050438 | Kent Herring | Dentist | 12700 Mcmanus Blvd, Suite 102b, Newport News, VA 23602 | 2007-06-13 |
| 1730278243 | Stewart Wetchler & Mary Kay Dineen | Specialist | 12700 Mcmanus Blvd, Suite 102a, Newport News, VA 23602-4407 | 2006-10-12 |
| 1174637557 | Sherri L. Wright | Chiropractor | 12700 Mcmanus Blvd, Suite 101, Newport News, VA 23602-4407 | 2006-08-19 |
| 1477550671 | Mary Kay Dineen | Obstetrics & Gynecology | 12700 Mcmanus Blvd, Suite 102 A, Newport News, VA 23602-4407 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467604926 | Mariel A Focseneanu | Obstetrics & Gynecology | 11783 Rock Landing Dr, Newport News, VA 23606-4431 | 2008-10-16 |
| 1174663967 | Norman R Edwards Md Ltd | Obstetrics & Gynecology | 610 Thimble Shoals Blvd, #404, Newport News, VA 23606-2526 | 2007-02-08 |
| 1336225689 | Charlie Micah Faulk | Obstetrics & Gynecology | 12200 Warwick Blvd, Suite 480, Newport News, VA 23601-2344 | 2006-10-30 |
| 1982626727 | Riverside Physician Services Inc | Obstetrics & Gynecology | 12200 Warwick Blvd, Suite 480, Newport News, VA 23601-2344 | 2006-07-24 |
| 1124046719 | Riverside Physician Services Inc | Obstetrics & Gynecology | 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 | 2006-07-18 |
| 1235193210 | Barry Lee Gross | Obstetrics & Gynecology | 401 Oyster Point Rd, Suite A, Newport News, VA 23602-6926 | 2006-04-14 |
| 1477550671 | Mary Kay Dineen | Obstetrics & Gynecology | 12700 Mcmanus Blvd, Suite 102 A, Newport News, VA 23602-4407 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530435 | Center for Endometriosis and Advanced Pelvic Surgery | Obstetrics & Gynecology | 6801 Whittier Ave Ste 301, Mc Lean, VA 22101-4549 | 2020-05-20 |
| 1891217857 | Loudoun Medical Group PC | Obstetrics & Gynecology | 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 | 2017-07-12 |
| 1285093070 | Loudoun Medical Group PC | Obstetrics & Gynecology | 8292 Old Courthouse Rd, Suite C, Vienna, VA 22182-3834 | 2016-02-22 |
| 1730589458 | Drs Moore & Stockstill PC | Obstetrics & Gynecology | 5104 Bernard Dr, Suite 301, Roanoke, VA 24018-4349 | 2014-08-29 |
| 1649694993 | Carol Ciofalo | Obstetrics & Gynecology | 5209 11th Rd N, Arlington, VA 22205-2424 | 2014-02-06 |
| 1063754554 | Westhampton Health and Wellness LLC | Obstetrics & Gynecology | 2000 Bremo Rd # 205a, Richmond, VA 23226-2440 | 2013-03-22 |
| 1316212889 | Lisa Ruth Himmelstein | Obstetrics & Gynecology | 2515 Londonderry Rd, Alexandria, VA 22308-2332 | 2012-03-17 |
| 1265700769 | Jerome Frank Strauss IIi | Obstetrics & Gynecology | 2805 Monument Ave Apt 3, Richmond, VA 23221-1737 | 2011-12-12 |
| 1548592397 | Womens Health and Wellness LLC | Obstetrics & Gynecology | 6506 Main St, Gloucester, VA 23061-6103 | 2010-02-04 |
| 1467686907 | Millennium Gynecology P.l.l.c. | Obstetrics & Gynecology | 3359 Roundtree Estates Ct, Falls Church, VA 22042-3550 | 2009-05-12 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
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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.