RIVERSIDE MIDDLE PENINSULA HOSPITAL INC (NPI# 1528162534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528162534 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE MIDDLE PENINSULA HOSPITAL INC |
| Other Organization Name | RIVERSIDE WALTER REED HOSPITAL |
| Practice Address |
7519 Hospital Dr Gloucester VA 23061 |
| Mailing Address |
608 Denbigh Blvd Ste 800 Newport News VA 23608-4487 |
| Practice Telephone | 8046938800 |
| Practice Fax Number | 8046938812 |
| Mailing Telephone | 7578757545 |
| Mailing Fax Number | 7578757553 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | WALTER W AUSTIN JR. (SENIOR VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 7578757545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H1890 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4901304 | 05 |
| Other Name | Type Code |
|---|---|
| Riverside Walter Reed Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760498 | Riverside Middle Peninsula Hospital Inc | Hospice Care, Community Based | 7566 Hospital Drive, Building B Suite 103, Gloucester, VA 23061 | 2005-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RIVERSIDE MIDDLE PENINSULA HOSPITAL INC. | 7519 Hospital Dr, Gloucester, Virginia 23061 |
| Street Address |
7519 HOSPITAL DR |
| City | GLOUCESTER |
| State | VA |
| Zip Code | 23061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003883687 | Rachel Kathryn Marie Ertel | Physician Assistant | 7519 Hospital Dr, Gloucester, VA 23061-4178 | 2006-03-02 |
| 1538783303 | April Michelle Vance | Registered Nurse | 7519 Hospital Dr, Gloucester, VA 23061-4178 | 2020-06-08 |
| 1407497381 | Tenesha H Bottoms | Nurse Practitioner | 7519 Hospital Dr, Gloucester, VA 23061-4178 | 2019-10-02 |
| 1154891174 | Jackson Deen | Physician Assistant | 7519 Hospital Dr, Gloucester, VA 23061-4178 | 2018-12-03 |
| 1346626991 | Mohamed M Abdelnaby | Internal Medicine | 7519 Hospital Dr, Gloucester, VA 23061 | 2015-08-05 |
| 1154737153 | Lisa Jones | Nurse Practitioner | 7519 Hospital Dr, Gloucester, VA 23061-4178 | 2014-07-10 |
| 1467866558 | Adrian Carlos Martin Garofoli | Internal Medicine | 7519 Hospital Dr, Riverside Walter Reed Hospitalists, Gloucester, VA 23061-4178 | 2014-06-17 |
| 1194090498 | Meho Jasarevic | Internal Medicine | 7519 Hospital Dr, Gloucester, VA 23061-4178 | 2012-03-20 |
| 1558665455 | Elisabeth Rose Dean | Physician Assistant | 7519 Hospital Dr, Gloucester, VA 23061-4178 | 2011-01-06 |
| 1053639872 | Bradley Brian Hendricks | Internal Medicine | 7519 Hospital Dr, Gloucester, VA 23061-4178 | 2010-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087546 | Connex Family Services | Behavioral Analyst | 6948 Main Street Ste. 12, Gloucester, VA 23061 | 2018-03-19 |
| 1699278820 | Blake Steagall | Counselor | 7296 York Avenue, Gloucester, VA 23061 | 2018-03-14 |
| 1982103941 | Cathyrn Fields Radford | Speech-Language Pathologist | Page Middle School, 5198 T. C. Walker Road, Gloucester, VA 23061 | 2018-02-06 |
| 1326558727 | Home Care Associates LLC | Technician | 6812 Teagle Lane, Unit 1, Gloucester, VA 23061 | 2017-10-11 |
| 1154847176 | Thorpe Counseling Center | Social Worker | 6486 Main Street, Suite 10, Gloucester, VA 23061 | 2017-08-22 |
| 1215473715 | Christina Vickers | Prevention Professional | 7824 Windy Hill Road, Gloucester, VA 23061 | 2017-01-09 |
| 1487084372 | Debra Leigh Ottarson | Pharmacist | 6634 Jarvis Road, Gloucester, VA 23061 | 2013-11-14 |
| 1114170446 | Riverside Physician Services Inc | Psychiatry & Neurology | 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 | 2008-10-30 |
| 1881846087 | Nine Palms 1, LLC | Home Health | 6606 Main St, Gloucester, VA 23061 | 2008-10-21 |
| 1396909867 | Sandra B Buchheister | Physical Therapist | 6965 Fox Hunt Lane, Suite 201, Gloucester, VA 23061 | 2008-07-15 |
| Find all providers in zip 23061 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942606017 | Riverside Hospital, Inc | General Acute Care Hospital | 7544 Medical Dr, Suite B1, Gloucester, VA 23061-4299 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
| 1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
| 1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
| 1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
| 1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
| 1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 23061 |
Please comment or provide details below to improve the information on RIVERSIDE MIDDLE PENINSULA HOSPITAL INC.
| 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.