Jefferson E C Moulds (NPI# 1265420582, PAC ID# 0143306167) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1265420582 |
| PAC ID by PECOS | 0143306167 |
| Professional Enrollment ID | I20170321001909 |
| Full Name | Jefferson E C Moulds |
| Organization Legal Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Address |
20480 Market St Onancock VA 23417-4309 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 5092608448 |
| Number of Group Practice Members | 581 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490037 | RIVERSIDE SHORE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 858 J Clyde Morris Blvd, Newport News, VA 23601-1303 | 7575944343 | RIVERSIDE PHYSICIAN SERVICES INC |
| 20480 Market St, Onancock, VA 23417-4309 | RIVERSIDE PHYSICIAN SERVICES INC | |
| 20486 Market St, Onancock, VA 23417-4309 | 7573022700 | RIVERSIDE PHYSICIAN SERVICES INC |
| Organization Legal Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Physicians | 606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Alene Keith | Nurse Practitioner | Riverside Physician Services Inc | 209 Village Ave, Suite P, Tabb, VA 23693-5639 |
| Aarika L Turner | Nurse Practitioner | Riverside Physician Services Inc | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 |
| Priscilla A Bullen | Nurse Practitioner | Riverside Physician Services Inc | 12 Bruton Ave, Newport News, VA 23601-1602 |
| Hemchand Ramberan | Gastroenterology | Riverside Physician Services Inc | 101 Philip Roth St, Suite 5 A, Newport News, VA 23606-1393 |
| Scott Kaufman | Cardiac Electrophysiology | Riverside Physician Services Inc | 7544 Hospital Dr, Suite 202a, Gloucester, VA 23061-4178 |
| Jorge Rodolfo Rivera-irias | Critical Care (intensivists) | Riverside Physician Services Inc | 20486 Market St, Onancock, VA 23417-4309 |
| Raven B Custalow | Nurse Practitioner | Riverside Physician Services Inc | 17452 Richmond Rd, Callao, VA 22435-2420 |
| Dawn Marie Brown | General Surgery | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Prakash Mohan Kafle | Infectious Disease | Riverside Physician Services Inc | 12420 Warwick Blvd, 4c Riverside Infectious Disease Specialists, Newport News, VA 23606-3001 |
| Molly Massey | Nurse Practitioner | Riverside Physician Services Inc | 4917 Richmond Tappahannock Hwy 1, Aylett, VA 23009-3416 |
| Street Address |
20480 MARKET ST |
| City | ONANCOCK |
| State | VA |
| Zip | 23417-4309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Kelly Mott | Hospitalist | Riverside Physician Services Inc | 20480 Market St, Onancock, VA 23417-4309 |
| Rudra Beharrysingh | Hospitalist | Riverside Physician Services Inc | 20480 Market St, Onancock, VA 23417-4309 |
| Abdallah Abdelrazeq | Hospitalist | Riverside Physician Services Inc | 20480 Market St, Onancock, VA 23417-4309 |
| Robert Gregory Ingram | Hospitalist | Riverside Physician Services Inc | 20480 Market St, Onancock, VA 23417-4309 |
| Drury M Stith | Internal Medicine | Peninsula Cancer Institute, LLC | 20480 Market St, Onancock, VA 23417-4309 |
| Ray Edward Burger | Emergency Medicine | Riverside Physician Services Inc | 20480 Market St, Onancock, VA 23417-4309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge Rodolfo Rivera-irias | Critical Care (intensivists) | Riverside Physician Services Inc | 20486 Market St, Onancock, VA 23417-4309 |
| James L Mcdaniel | Pulmonary Disease | Riverside Physician Services Inc | 20486 Market St, Onancock, VA 23417-4309 |
| Fayemi Sylvanus Johnson | Obstetrics/gynecology | Riverside Physician Services Inc | 20486 Market St, Onancock, VA 23417-4309 |
| Joseph Romagnuolo | Gastroenterology | Riverside Physician Services Inc | 20486 Market St, Onancock, VA 23417-4309 |
| Jeremy Norman Grant | Obstetrics/gynecology | Riverside Physician Services Inc | 20486 Market St, Onancock, VA 23417-4309 |
| Elizabeth Fiscus Waring | Obstetrics/gynecology | Riverside Physician Services Inc | 20486 Market St, Onancock, VA 23417-4309 |
| Timothy Chester Gajewski | Orthopedic Surgery | Riverside Physician Services Inc | 20486 Market St, Onancock, VA 23417-4309 |
| City | ONANCOCK |
| Zip Code | 23417 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | ONANCOCK + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Jefferson E C Moulds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.