RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1801334297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801334297 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | RIVERSIDE MEDICAL GROUP - SHORE |
| Practice Address |
20486 Market Street Onancock VA 23417 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7573022700 |
| Practice Fax Number | 7577879262 |
| Mailing Telephone | 7573165960 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | BRADEN MILLER (CFO) |
| Authorized Official Telephone | 7573165800 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE HEALTHCARE ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | VA | Allopathic & Osteopathic Physicians | |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
VA | Allopathic & Osteopathic Physicians | |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
VA | Allopathic & Osteopathic Physicians | |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
VA | Allopathic & Osteopathic Physicians | |
| N | 207T00000X | Neurological Surgery | VA | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | VA | Allopathic & Osteopathic Physicians | |
| N | 207X00000X | Orthopaedic Surgery | VA | Allopathic & Osteopathic Physicians | |
| N | 213E00000X | Podiatrist | VA | Podiatric Medicine & Surgery Service Providers | |
| Y | 208600000X | Surgery | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Medical Group - Shore | 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 |
20486 MARKET STREET |
| City | ONANCOCK |
| State | VA |
| Zip Code | 23417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178122 | Michael Grillon | Family Medicine | 20486 Market Street, Onancock, VA 23417 | 2005-07-18 |
| 1821591942 | Sarah Mears Chew | Speech-Language Pathologist | 20486 Market Street, Onancock, VA 23417 | 2018-03-15 |
| 1346525128 | Allen Ozeran | Internal Medicine | 20486 Market Street, Onancock, VA 23417 | 2011-10-12 |
| 1730474115 | Ambar Matta | Surgery | 20486 Market Street, Onancock, VA 23417 | 2011-06-14 |
| 1356570584 | Shaunette Davey | Orthopaedic Surgery | 20486 Market Street, Onancock, VA 23417 | 2009-07-09 |
| 1518128453 | Jack W Lambert IIi | Urology | 20486 Market Street, Onancock, VA 23417 | 2008-06-23 |
| 1164440087 | Thomas Fisher Hare | Physician Assistant | 20486 Market Street, Onancock, VA 23417 | 2006-07-18 |
| 1215986419 | Lloyd David Hubler | Orthopaedic Surgery | 20486 Market Street, Onancock, VA 23417 | 2006-05-08 |
| 1295725836 | Ashan Manohar | Internal Medicine | 20486 Market Street, Onancock, VA 23417 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593025 | Dawn Alison Craig | Speech-Language Pathologist | 25221 Savageville Road Unit A, Onancock, VA 23417 | 2020-09-22 |
| 1679827687 | James J James | Preventive Medicine | 16422 Wanderers Port Lane, Onancock, VA 23417 | 2012-10-30 |
| 1619076916 | Shore Health Services Inc. | General Acute Care Hospital | 20480 Market St, Onancock, VA 23417 | 2006-09-22 |
| 1952330219 | Bruce Alan Krueger | Podiatrist | 20190 Market St., Onancock, VA 23417 | 2006-06-30 |
| 1417495367 | Riverside Physician Services Inc | Radiology | 20480 Market Street, Onancock, VA 23417 | 2017-02-10 |
| 1649686429 | Abdallah Abdelrazeq | Internal Medicine | 20480 Market Street, Onancock, VA 23417 | 2014-07-01 |
| 1366726077 | Rudra Beharrysingh | Internal Medicine | 20480 Market St, Onancock, VA 23417 | 2011-09-30 |
| 1710218664 | Peninsula Cancer Institute LLC | Internal Medicine | 20480 Market Street, Onancock, VA 23417 | 2010-01-15 |
| 1134453137 | Riverside Physician Services, Inc | Hospitalist | 20480 Market Street, Onancock, VA 23417 | 2009-09-23 |
| 1912050402 | Accomack Chiropractic PC | Chiropractor | 20525 Market St, Onancock, VA 23417-0316 | 2007-01-19 |
| Find all providers in zip 23417 | ||||
| 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 |
|---|---|---|---|---|
| 1730474115 | Ambar Matta | Surgery | 20486 Market Street, Onancock, VA 23417 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819911 | Charles W Hurt | Surgery | 195 Riverbend Dr Ste 1, Charlottesville, VA 22911-8708 | 2020-04-08 |
| 1720616261 | Katherine Maria Barrows | Surgery | 3300 Gallows Rd, Dept of Surgery, Falls Church, VA 22042-3307 | 2020-03-30 |
| 1891202412 | Valley Physician Enterprise, Inc. | Surgery | 1870 Amherst St Ste 2a, Winchester, VA 22601-2841 | 2018-01-04 |
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1457729048 | Donnarose Klemovitch | Surgery | 11226 Goldflower Ct, Fairfax Station, VA 22039-2026 | 2015-09-13 |
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1760877377 | Caleb Luke Cutherell | Surgery | 2900 Lamb Cir Ste 302, Christiansburg, VA 24073-6341 | 2015-03-31 |
| 1457745143 | Dwayne North | Surgery | 7554 Hospital Dr Ste D303, Gloucester, VA 23061-4178 | 2015-03-20 |
| 1720479504 | Affinity Healthcare Group LLC | Surgery | 3356 Western Branch Blvd, #f, Chesapeake, VA 23321-5138 | 2015-02-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RIVERSIDE PHYSICIAN SERVICES INC.
| 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.