RIVERSIDE HOSPITAL, INC (NPI# 1679979744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679979744 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE HOSPITAL, INC |
| Other Organization Name | RIVERSIDE CANCER INFUSION CENTER-NEWPORT NEWS |
| Practice Address |
12100 Warwick Blvd Suite 210b Newport News VA 23601-2365 |
| Mailing Address |
608 Denbigh Boulevard Suite 800 Newport News VA 23608-4487 |
| Practice Telephone | 7578757545 |
| Mailing Telephone | 7578757545 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | MR. WALTER W AUSTIN JR. (SENIOR VP/CFO) |
| Authorized Official Telephone | 7578757545 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H1887 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4900529 | 05 |
| Other Name | Type Code |
|---|---|
| Riverside Cancer Infusion Center-Newport News | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316343478 | Riverside Hospital, Inc | General Acute Care Hospital | 1200 First Colonial Rd, Suite 204a, Virginia Beach, VA 23454-2207 | 2014-11-17 |
| 1952707002 | Riverside Hospital, Inc | General Acute Care Hospital | 120 Kings Way, Suite 3100a, Williamsburg, VA 23185-2505 | 2014-11-17 |
| 1033515101 | Riverside Hospital, Inc | General Acute Care Hospital | 5835 Harbour View Blvd, Suite C1, Suffolk, VA 23435-2601 | 2014-11-17 |
| 1851797922 | Riverside Hospital, Inc | General Acute Care Hospital | 110 Wimbledon Sq, Suite E1, Chesapeake, VA 23320-4946 | 2014-11-17 |
| 1942606017 | Riverside Hospital, Inc | General Acute Care Hospital | 7544 Medical Dr, Suite B1, Gloucester, VA 23061-4299 | 2014-11-17 |
| 1578999009 | Riverside Hospital, Inc | Pharmacy | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2013-09-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVERSIDE HOSPITAL, INC. | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 |
| Street Address |
12100 WARWICK BLVD SUITE 210B |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972565315 | Biral S Amin | Radiology | 12100 Warwick Blvd, Suite 102, Newport News, VA 23601-2365 | 2006-04-03 |
| 1215343470 | Ellyn Reynell Amato | Nurse Practitioner | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 2014-07-09 |
| 1730453424 | Asheley Supik | Genetic Counselor, MS | 12100 Warwick Blvd, Suite 101, Newport News, VA 23601-2365 | 2012-02-28 |
| 1902182231 | Riverside Physician Services Inc | Radiology | 12100 Warwick Blvd, Suite 102, Newport News, VA 23601-2365 | 2011-11-01 |
| 1992856579 | George Joy Kannarkat | Internal Medicine | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601 | 2007-01-12 |
| 1174545107 | Flavia Esteve Kostov | Internal Medicine | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 2006-07-25 |
| 1609893130 | Mashour Yousef | Internal Medicine | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 2006-07-17 |
| 1205853793 | Guy W. Tillinghast | Specialist | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 2006-07-17 |
| 1861418410 | Riverside Physician Services Inc | Obstetrics & Gynecology | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601 | 2006-07-15 |
| 1588628580 | William Paul Irvin | Obstetrics & Gynecology | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601-2365 | 2006-04-14 |
| 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 | 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 |
|---|---|---|---|---|
| 1861779852 | Riverside Regional Medical Center | General Acute Care Hospital | 542 K Eleanor Court, Newport News, VA 23602 | 2011-11-04 |
| 1609162270 | Riverside Medical Education | General Acute Care Hospital | 12200 Warwick Blvd Ste 490a, Newport News, VA 23601-2548 | 2011-06-22 |
| 1538535463 | Mary Immaculate Hospital LLC | General Acute Care Hospital | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2015-08-14 |
| 1356543995 | Riverside Regional Medical Center | General Acute Care Hospital | 500 J Clyde Morris Blvd, Department of Medical Education - Family Medicine, Newport News, VA 23601-1929 | 2007-06-05 |
| 1700088721 | Riverside Regional Medical Center | General Acute Care Hospital | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2007-06-01 |
| 1366547747 | Riverside Hospital Inc | General Acute Care Hospital | 500 J Clyde Morris Blvd, Newport News, VA 23601 | 2006-09-13 |
| 1427064310 | Mary Immaculate Hospital LLC | General Acute Care Hospital | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2006-07-31 |
| 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 | 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.