RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1205997780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205997780 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | PENINSULA SURGICAL |
| Practice Address |
500 J Clyde Morris Blvd Suite 601 Newport News VA 23601-1929 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7575345300 |
| Practice Fax Number | 7575325316 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575942195 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-10-31 |
| 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 | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Peninsula Surgical | 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 |
500 J CLYDE MORRIS BLVD SUITE 601 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397343 | Camelia Pana | Internal Medicine | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-06-21 |
| 1538769724 | Jessica L Adams | Nurse Practitioner | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-10-28 |
| 1902424526 | Danh Nguyen | Pharmacist | 500 J Clyde Morris Blvd, Fourth Floor East, Newport News, VA 23601-1929 | 2020-07-09 |
| 1700402534 | Jennifer Towne Noble-treacy | Nurse Practitioner | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-06-17 |
| 1356962419 | Kimberly Mrofchak | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-29 |
| 1598384380 | David Wallington | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-11 |
| 1588293948 | Joshua David Kirbens | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-07 |
| 1700415148 | Gregory Arthur Boyer | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-07 |
| 1275162836 | Alanna D'amelio | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-06 |
| 1750910428 | Rachel Clare Yestrebi | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336125194 | Brian Joseph Billings | Surgery | 109 Philip Roth St, Newport News, VA 23606-1393 | 2005-12-22 |
| 1306834775 | Mary Lydon Guye | Surgery | 11803 Jefferson Ave Ste 235, Newport News, VA 23606-2565 | 2005-10-11 |
| 1437155165 | Steven B. Hopson | Surgery | 860 Omni Blvd Ste 108, Newport News, VA 23606-4430 | 2005-06-27 |
| 1316386709 | Olugbemisola Oredein Mccoy | Surgery | 11848 Rock Landing Dr Ste 402, Newport News, VA 23606 | 2013-06-18 |
| 1326332172 | Julius Tang | Surgery | 500 J Clyde Morris Blvd Ste 602, Newport News, VA 23601 | 2011-06-08 |
| 1497053557 | Center for Weight Loss Success, P.C. | Surgery | 645 J Clyde Morris Blvd, Newport News, VA 23601-1819 | 2011-03-14 |
| 1205142791 | Mary Immaculate Hospital LLC | Surgery | 12720 Mcmanus Blvd Ste 305, Newport News, VA 23602-4414 | 2010-08-23 |
| 1407087919 | Sentara Medical Group | Surgery | 11803 Jefferson Ave, Suite 235, Newport News, VA 23606-2565 | 2009-07-31 |
| 1427206465 | Brian Christopher Lenczewski | Surgery | 109 Philip Roth St, Riverside Surgical Specialists, Newport News, VA 23606-1393 | 2008-09-03 |
| 1144481490 | Alan D Chap | Surgery | 109 Philip Roth St, Newport News, VA 23606 | 2008-06-19 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
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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.