RIVERSIDE HOSPITAL INC (NPI# 1245256908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245256908 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE HOSPITAL INC |
| Other Organization Name | RIVERSIDE BRENTWOOD MEDICAL CENTER - FAMILY MEDICINE |
| Practice Address |
10510 Jefferson Ave Suites A Newport News VA 23601-3102 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7575943800 |
| Practice Fax Number | 7575943818 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | JAMES LESNICK (VICE PRESIDENT) |
| Authorized Official Telephone | 7575944006 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE HEALTHCARE ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RAILROAD | CG6038 | 01 |
| Other Name | Type Code |
|---|---|
| Riverside Brentwood Medical Center - Family Medicine | 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 |
| 1811910102 | Riverside Hospital Inc | Pediatrics | 10510 Jefferson Ave, Suite E, Newport News, VA 23601-3102 | 2006-07-26 |
| 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 |
| 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 SUITES A |
| 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 | 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 |
|---|---|---|---|---|
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1285071233 | Kevin Paul Wolf | Family Medicine | 12420 Warwick Blvd Bldg 3, Riverside Internal Medicine, Newport News, VA 23606-3001 | 2013-05-31 |
| 1558596031 | Tam Xuan Tran | Family Medicine | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2009-05-27 |
| 1912166562 | Rudolph Joseph Naurath | Family Medicine | 21 Beverly Hills Dr, Newport News, VA 23606-2157 | 2008-06-07 |
| 1861650806 | Ricardo J Guardia | Family Medicine | 206 Cameron Dr, Newport News, VA 23606-1431 | 2008-05-27 |
| 1396941852 | Darany Khun Toy | Family Medicine | 12695 Mcmanus Blvd Bldg 6, Newport News, VA 23602-4435 | 2007-06-22 |
| 1437351889 | Rabbiya Nasir Abidi | Family Medicine | 500 J Clyde Morris Boulevard, Riverside Regional Medical Center, Newport News, VA 23601 | 2007-06-05 |
| 1548475775 | Daniel Lee Medical Group PC | Family Medicine | 716 Denbigh Blvd Suite C3, Newport News, VA 23608-4414 | 2007-05-11 |
| 1275751166 | Sinclair B. Mccracken, Md, PC | Family Medicine | 704 Thimble Shoals Blvd Ste 600a, Newport News, VA 23606-4558 | 2007-04-23 |
| 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.