RIVERSIDE PHYSICIAN SERVICES, INC (NPI# 1407089659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407089659 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES, INC |
| Other Organization Name | RIVERSIDE BRENTWOOD OB/GYN |
| Practice Address |
10510 Jefferson Ave Newport News VA 23601-3102 |
| Mailing Address |
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 |
| Practice Telephone | 7575944720 |
| Practice Fax Number | 7575944735 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575942195 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |
| Authorized Official Name | MR. ERNEST PADDEN (VICE PRESIDENT) |
| Authorized Official Telephone | 7575944006 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE PHYSICIAN SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Brentwood OB/GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487960134 | Riverside Physician Services, Inc | Family Medicine | 9524 Hospital Ave, Nassawadox, VA 23413 | 2010-08-19 |
| 1720309925 | Riverside Physician Services, Inc | Internal Medicine | 7552 Hospital Dr, Bldg D Suite 302, Gloucester, VA 23061-4178 | 2010-06-22 |
| 1790001501 | Riverside Physician Services, Inc | Anesthesiology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2010-04-19 |
| 1801127527 | Riverside Physician Services, Inc | Family Medicine | 7364 Richmond Rd, Williamsburg, VA 23188-7220 | 2010-01-20 |
| 1235466384 | Riverside Physician Services, Inc | Neurological Surgery | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1326375478 | Riverside Physician Services, Inc | Internal Medicine | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1871820928 | Riverside Physician Services, Inc | Obstetrics & Gynecology | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1780911834 | Riverside Physician Services, Inc | Orthopaedic Surgery | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1134456288 | Riverside Physician Services, Inc | Otolaryngology | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1861729915 | Riverside Physician Services, Inc | Internal Medicine | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| Street Address |
10510 JEFFERSON AVE |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376071951 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 11747 Jefferson Ave Ste 1a, Newport News, VA 23606-4401 | 2017-05-26 |
| 1114939980 | Kathy Edwina O'connell | Obstetrics & Gynecology | 11842 Rock Landing Dr Ste 115, Newport News, VA 23606-4437 | 2006-08-12 |
| 1679599120 | Riverside Physician Services Inc | Obstetrics & Gynecology | 608 Denbigh Blvd, Suite 701, Newport News, VA 23608-4413 | 2006-07-15 |
| 1154385706 | Lisa Ann Casanova | Obstetrics & Gynecology | 401 Oyster Point Rd, Suite A, Newport News, VA 23602-6926 | 2006-04-12 |
| 1447236906 | Stuart H Shippey IIi | Obstetrics & Gynecology | 10510 Jefferson Ave Ste D, Newport News, VA 23601-3102 | 2005-12-16 |
| 1871584631 | Katherine Leigh Hilsinger | Obstetrics & Gynecology | 12706 Mcmanus Blvd, Newport News, VA 23602-4460 | 2005-11-02 |
| 1609877562 | Michael Dee Mcmullin | Obstetrics & Gynecology | 10510 Jefferson Ave, Newport News, VA 23601-3102 | 2005-08-02 |
| 1861854689 | Branden Deyerle | Obstetrics & Gynecology | 12706 Mcmanus Blvd, Newport News, VA 23602-4460 | 2016-03-22 |
| 1912319054 | Priya Raju | Obstetrics & Gynecology | 10510 Jefferson Ave, Suite D, Newport News, VA 23601-3102 | 2014-05-23 |
| 1669811667 | Michel El Alam | Obstetrics & Gynecology | 10510 Jefferson Ave Ste D, Newport News, VA 23601-3102 | 2013-06-24 |
| 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.