RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1467962662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467962662 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | RIVERSIDE PRIMARY CARE KILN CREEK |
| Practice Address |
209 Village Ave Ste P Yorktown VA 23693-5639 |
| Mailing Address |
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 |
| Practice Telephone | 7573165050 |
| Mailing Telephone | 7573165900 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Authorized Official Name | BRADEN MILLER (CFO) |
| Authorized Official Telephone | 7573165900 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE HEALTHCARE ASSOC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Primary Care Kiln Creek | Doing Business As Name - Organization |
| Riverside Primary Care KLN Creek | 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 |
209 VILLAGE AVE STE P |
| City | YORKTOWN |
| State | VA |
| Zip Code | 23693-5639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790295913 | Mary Kathryn Valentine | Nurse Practitioner | 209 Village Ave Ste P, Yorktown, VA 23693-5639 | 2017-10-02 |
| 1215578364 | Samantha R. Verser | Nurse Practitioner | 209 Village Ave Ste P, Yorktown, VA 23693-5639 | 2019-09-30 |
| 1174000822 | Annivy Gyaamea Acheampong | Family Medicine | 209 Village Ave Ste P, Yorktown, VA 23693 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154088 | Michelle Melo Digman | Behavior Technician | 3630 George Washington Highway, Suite D, Yorktown, VA 23693 | 2018-11-29 |
| 1518332451 | Restored Life Wellness Center, Pllc | Chiropractor | 3212 Hampton Hwy Suite C, Yorktown, VA 23693 | 2015-12-03 |
| 1285924100 | Red Star Dental | Dentist | 202 St.clair Cirle, Apt K, Yorktown, VA 23693 | 2011-04-12 |
| 1538495411 | Laura Ann Lavold | Nurse Practitioner | 3212 Hampton Highway, Suite B, Yorktown, VA 23693 | 2009-10-27 |
| 1609024090 | Foot Solutions Yorktown | Durable Medical Equipment & Medical Supplies | 2643 George Washington Memorial Hwy, #c, Yorktown, VA 23693 | 2008-08-28 |
| 1578740023 | Nicole Jackson | Counselor | 3630 George Washington Hwy, Ste B-6, Yorktown, VA 23693 | 2008-01-28 |
| 1184836025 | Angela Jeanne Giles | Social Worker | 107-g Little Bay Avenue, Yorktown, VA 23693 | 2007-05-04 |
| 1003950197 | John Joseph Sheehan II | Optometrist | 2601 George Washington Hwy, Family Eyecare, Yotktown, VA 23693 | 2007-02-20 |
| 1356406920 | Laurence Allen Warren | Dentist | 106 Yorktown, Yorktown, VA 23693 | 2006-12-26 |
| 1386727022 | Hampton Roads Counseling Ctr Inc | Clinic/Center | 6515 Geo Wash Mem Hwy, Ste 100, Grafto, VA 23693 | 2006-10-24 |
| Find all providers in zip 23693 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275887366 | Ruth Esther Smith | Family Medicine | 160 Main Rd, Yorktown, VA 23691-5111 | 2012-10-29 |
| 1619178274 | Wayne A Stoutenger | Family Medicine | 105 Jennie Dr, Yorktown, VA 23692-4001 | 2007-05-30 |
| 1700835568 | Timothy Lee Raines | Family Medicine | 3212b Hampton Hwy, Yorktown, VA 23693-4904 | 2006-05-09 |
| 1326013327 | Mark A Litz | Family Medicine | 1420 S. Pilgrim Blvd., Yorktown, IN 47396-9250 | 2006-02-22 |
| 1376514042 | Warren Paul Weixler | Family Medicine | 2855 Denbigh Blvd, Suite A, Yorktown, VA 23692-6501 | 2006-01-30 |
| 1407835812 | Pedro Otilio Nazario | Family Medicine | 1 U S Coast Guard Trn Ctr, Yorktown, VA 23690-5001 | 2006-01-13 |
| 1861490682 | Jesus L. Lizarzaburu | Family Medicine | 222 Grafton Dr, Yorktown, VA 23692-2152 | 2005-07-14 |
| 1669478418 | Hawes Campbell IIi | Family Medicine | 307 Cook Rd, Yorktown, VA 23690-9640 | 2005-06-27 |
| 1801438254 | Dena Michelle Mintz | Family Medicine | 6420 B George Washington Memorial Highway, Yorktown, VA 23269 | 2019-10-16 |
| 1326603952 | Riverside Physicain Services Inc | Family Medicine | 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 | 2019-05-09 |
| Find all providers in YORKTOWN | ||||
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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.