RIVERSIDE HOSPITAL INC (NPI# 1811910102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811910102 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE HOSPITAL INC |
| Other Organization Name | RIVERSIDE BRENTWOOD MEDICAL CENTER PEDIATRICS |
| Practice Address |
10510 Jefferson Ave Suite E Newport News VA 23601-3102 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7575942846 |
| Practice Fax Number | 7575941714 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-09-27 |
| Authorized Official Name | JAMES LESNICK (VICE PRESIDENT) |
| Authorized Official Telephone | 7575944006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Brentwood Medical Center Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045535 | Riverside Hospital Inc | Hospice Care, Community Based | 12420 Warwick Blvd, Ste 7d, Newport News, VA 23606-3055 | 2005-07-01 |
| 1801891023 | Riverside Hospital Inc | Home Health | 856 J Clyde Morris Blvd, Ste C, Newport News, VA 23601-1318 | 2005-06-15 |
| 1053894386 | Riverside Hospital Inc | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2018-09-12 |
| 1649509282 | Riverside Hospital Inc | Ambulance | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2009-12-10 |
| 1366547747 | Riverside Hospital Inc | General Acute Care Hospital | 500 J Clyde Morris Blvd, Newport News, VA 23601 | 2006-09-13 |
| 1225059991 | Riverside Hospital Inc | Obstetrics & Gynecology | 10510 Jefferson Ave, Suite D, Newport News, VA 23601-3102 | 2006-07-21 |
| 1033130687 | Riverside Hospital Inc | Internal Medicine | 12420 Warwick Blvd, Bldg. 3 Suite 4a, Newport News, VA 23606-3001 | 2006-07-21 |
| 1245256908 | Riverside Hospital Inc | Family Medicine | 10510 Jefferson Ave, Suites A, Newport News, VA 23601-3102 | 2006-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RIVERSIDE HOSPITAL INC. | 500 J Clyde Morris Blvd, Newport News, Virginia 23601 |
| Street Address |
10510 JEFFERSON AVE SUITE E |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877562 | Michael Dee Mcmullin | Obstetrics & Gynecology | 10510 Jefferson Ave, Newport News, VA 23601-3102 | 2005-08-02 |
| 1568925857 | Syed Qais Kirmani | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave, Newport News, VA 23601-3102 | 2019-04-12 |
| 1457885717 | Kimberly-ann Milliff | Family Medicine | 10510 Jefferson Ave, Suite A, Newport News, VA 23601-3102 | 2017-04-13 |
| 1578097788 | Reginald Samuel Pinder II | Family Medicine | 10510 Jefferson Ave, Suite A, Newport News, VA 23601-3102 | 2017-04-13 |
| 1770017048 | Nicolas Rodolfo Sanhueza Castillo | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave, Suite B, Newport News, VA 23601-3102 | 2017-04-13 |
| 1114451325 | Heidi Rogers | Family Medicine | 10510 Jefferson Ave, Suite A, Newport News, VA 23601-3102 | 2017-04-13 |
| 1871026799 | Christina Kim | Family Medicine | 10510 Jefferson Ave, Suite A, Newport News, VA 23601-3102 | 2017-04-07 |
| 1730611245 | Zachary Alexander Morie | Family Medicine | 10510 Jefferson Ave, Suite A, Newport News, VA 23601-3102 | 2017-04-03 |
| 1275066607 | Kosha Nathwani | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave, Ste A, Newport News, VA 23601-3102 | 2017-04-03 |
| 1013449479 | Libby Palumbo | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave, Suite A, Newport News, VA 23601-3102 | 2017-04-03 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689938649 | Port Warwick Pediatrics Ltd | Pediatrics | 11803 Jefferson Ave Ste 236, Newport News, VA 23606-2565 | 2012-06-25 |
| 1073780227 | Amber A Mccusker | Pediatrics | 321 Main St Ste 1, Newport News, VA 23601-3876 | 2008-05-15 |
| 1447209085 | Lewis H. Curd Jr. | Pediatrics | 11783 Rock Landing Dr, Suite 202, Newport News, VA 23606-4431 | 2006-05-10 |
| 1558329482 | Mary Margaret Borer | Pediatrics | 9 Barbour Dr, Newport News, VA 23606-2801 | 2006-05-02 |
| 1114993185 | Sherin Amiri | Pediatrics | 11760 Rock Landing Dr, Newport News, VA 23606-4204 | 2006-02-28 |
| 1275512378 | George E Scordalakes | Pediatrics | 15425 Warwick Blvd, Newport News, VA 23608-1579 | 2006-01-17 |
| 1942289822 | Aurora S Badavi | Pediatrics | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2006-01-10 |
| 1265429716 | Amy E Hedges | Pediatrics | 12705 Mcmanus Blvd, Newport News, VA 23602-4459 | 2005-09-30 |
| 1972598795 | Joseph A Baust Jr. | Pediatrics | 12655 Warwick Blvd Ste B, Newport News, VA 23606-2501 | 2005-09-19 |
| 1619972833 | Julian Harwood Blalock Jr. | Pediatrics | 321 Main St, Newport News, VA 23601-3814 | 2005-06-15 |
| 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.