RIVERSIDE PHYSICIAN SERVICES, INC (NPI# 1265662365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265662365 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES, INC |
| Other Organization Name | CARDIOVASCULAR CENTER OF HAMPTON ROADS |
| Practice Address |
30 Shady Ln White Stone VA 22578-2601 |
| Mailing Address |
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 |
| Practice Telephone | 8046945553 |
| Practice Fax Number | 8046948232 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575942195 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |
| Authorized Official Name | MR. ERNEST PADDEN (VICE PRESIDENT) |
| Authorized Official Telephone | 7575944006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiovascular Center of Hampton Roads | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487960134 | Riverside Physician Services, Inc | Family Medicine | 9524 Hospital Ave, Nassawadox, VA 23413 | 2010-08-19 |
| 1720309925 | Riverside Physician Services, Inc | Internal Medicine | 7552 Hospital Dr, Bldg D Suite 302, Gloucester, VA 23061-4178 | 2010-06-22 |
| 1790001501 | Riverside Physician Services, Inc | Anesthesiology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2010-04-19 |
| 1801127527 | Riverside Physician Services, Inc | Family Medicine | 7364 Richmond Rd, Williamsburg, VA 23188-7220 | 2010-01-20 |
| 1235466384 | Riverside Physician Services, Inc | Neurological Surgery | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1326375478 | Riverside Physician Services, Inc | Internal Medicine | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1871820928 | Riverside Physician Services, Inc | Obstetrics & Gynecology | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1780911834 | Riverside Physician Services, Inc | Orthopaedic Surgery | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1134456288 | Riverside Physician Services, Inc | Otolaryngology | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1861729915 | Riverside Physician Services, Inc | Internal Medicine | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| Street Address |
30 SHADY LN |
| City | WHITE STONE |
| State | VA |
| Zip Code | 22578-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013904168 | Brian Keith Cubbage | Family Medicine | 30 Shady Ln, White Stone, VA 22578-2601 | 2005-10-04 |
| 1356738736 | Montecia Boyd Burno | Nurse Practitioner | 30 Shady Ln, White Stone, VA 22578-2601 | 2015-04-23 |
| 1184033904 | Allison Ovide | Physician Assistant | 30 Shady Ln, White Stone, VA 22578-2601 | 2014-08-06 |
| 1528211158 | Riverside Physician Services Inc | Internal Medicine | 30 Shady Ln, White Stone, VA 22578-2601 | 2008-10-28 |
| 1164490157 | Jo Myers Martin | Family Medicine | 30 Shady Ln, White Stone, VA 22578-2601 | 2006-03-08 |
| 1811975162 | Lisa Colette Jenkins-haynie | Family Medicine | 30 Shady Ln, White Stone, VA 22578-2601 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861479339 | Linda Bergman Toney | Nurse Practitioner | 30 Shady Lane, White Stone, VA 22578 | 2005-12-27 |
| 1366596314 | White Stone Pharmacy, Inc. | Pharmacy | 416 Chesapeake Dr, Vsr 200, White Stone, VA 22578-0003 | 2007-01-23 |
| 1740267277 | White Stone Family Practice | Family Medicine | 30 Shady Lane, White Stone, VA 22578-0046 | 2005-12-27 |
| 1689756520 | Rachel Louise Kancianic | Physician Assistant | 30 Shady Lane, White Stone, VA 22578-0046 | 2006-10-19 |
| 1336388479 | The Family Maternity Center of The Northern Neck, Inc. | Clinic/Center | 372 Fleets Ln, White Stone, VA 22578-2019 | 2009-02-12 |
| 1194905232 | Sidney Wilson Tiesenga | Orthopaedic Surgery | 469 Coppedge Farm Rd, White Stone, VA 22578-2027 | 2007-11-06 |
| 1093725376 | Martha Kirkland | Nurse Anesthetist, Certified Registered | 279 Dawson Ln, White Stone, VA 22578-2104 | 2006-08-09 |
| 1558992545 | Carter's Transportation, LLC | Non-emergency Medical Transport (VAN) | 220 Chesapeake Dr Ste D, White Stone, VA 22578-2656 | 2020-01-29 |
| 1932618428 | Vonnique Owens | Technician | 220 Chesapeake Dr Ste E, White Stone, VA 22578-2656 | 2017-09-27 |
| 1982610325 | Richard G. Newhouse | Psychiatry & Neurology | 220 Chesapeake Dr, Building 2, Suite D, White Stone, VA 22578-2656 | 2006-07-31 |
| Find all providers in zip 22578 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1407482102 | Careclix Inc | Internal Medicine | 206 N Washington St Ste 100, Alexandria, VA 22314-2534 | 2020-03-14 |
| 1962046763 | Southpark Vascular Center | Internal Medicine | 445 Charles H Dimmock Pkwy Ste 101, Colonial Heights, VA 23834-2990 | 2019-11-05 |
| 1205496866 | United Diagnostic Services LLC | Internal Medicine | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-06-17 |
| 1790348365 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1625 N George Mason Dr Ste 354, Arlington, VA 22205-3687 | 2019-04-18 |
| 1366905523 | Premier Cardiac and Vascular LLC | Internal Medicine | 5514 Alma Ln Ste 200, Springfield, VA 22151-4014 | 2019-04-12 |
| 1083133144 | Community Cardiology | Internal Medicine | 43 Rives Rd Ste 201, Petersburg, VA 23805-9255 | 2017-09-11 |
| 1306361803 | Stateline Heart and Vascular Health, Inc | Internal Medicine | 312 Fairy Street Ext Ste 101, Martinsville, VA 24112-1912 | 2017-08-07 |
| 1265954747 | Sentara Medical Group | Internal Medicine | 1933 Edwin Dr Ste 208a, Chesapeake, VA 23322-6531 | 2017-07-17 |
| 1003366618 | Bluefield Vascular Center | Internal Medicine | 970 Leatherwood Ln, Bluefield, VA 24605-2047 | 2016-10-06 |
| 1770947806 | Rajiv Ashok Kabadi | Internal Medicine | Vcuhs Department of Cards Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-04-05 |
| Find all providers with the same taxonomy | ||||
| City | WHITE STONE |
| Zip Code | 22578 |
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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.