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Contact Information

RIVERSIDE PHYSICIAN SERVICES INC
12200 WARWICK BLVD STE 490A
NEWPORT NEWS, VA23601-2548
 Phone: 757-534-9988
 Fax: 757-594-3653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RIVERSIDE PHYSICIAN SERVICES INC

NPI Number 1609020643
LBN Legal business name RIVERSIDE PHYSICIAN SERVICES INC
Authorized official BRADEN MILLER - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/04/2008
Last updated 08/10/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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