RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. (NPI# 1932409703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932409703 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
104 Ormskirk Williamsburg VA 23188-8941 |
| Mailing Address |
Po Box 15648 Sacramento CA 95852-0648 |
| Practice Telephone | 5594554000 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |
| Authorized Official Name | DONALD R. MASSEE (SECRETARY) |
| Authorized Official Telephone | 9517812273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700252467 | Riverside Radiology Medical Group, Inc. | Radiology | 30700 E Sunset Dr S, Redlands, CA 92373-7448 | 2015-08-18 |
| 1700261765 | Riverside Radiology Medical Group, Inc. | Radiology | 400 Warren Dr, Apt. 4, San Francisco, CA 94131-1075 | 2015-07-20 |
| 1982028486 | Riverside Radiology Medical Group, Inc. | Radiology | 1660 Chicago Ave, Suite # M-9, Riverside, CA 92507-2068 | 2014-02-05 |
| 1851694699 | Riverside Radiology Medical Group, Inc. | Radiology | 338 Lowell Ave, Mill Valley, CA 94941-3845 | 2010-12-17 |
| 1457653206 | Riverside Radiology Medical Group, Inc. | Radiology | 3651 Laketree Dr, Fallbrook, CA 92028-9404 | 2010-11-30 |
| 1619278348 | Riverside Radiology Medical Group, Inc. | Radiology | 9 Tesoro, Newport Coast, CA 92657-1214 | 2010-11-11 |
| 1518267384 | Riverside Radiology Medical Group, Inc. | Radiology | 7410 Yonie Ct, Las Vegas, NV 89117-2159 | 2010-10-27 |
| 1669772448 | Riverside Radiology Medical Group, Inc. | Radiology | 1 Meadowbrook Rd, Franklin, MA 02038-1133 | 2010-10-27 |
| 1003116872 | Riverside Radiology Medical Group, Inc. | Radiology | 30000 Santiago Rd, Temecula, CA 92592-5115 | 2010-10-27 |
| 1932409794 | Riverside Radiology Medical Group, Inc. | Radiology | 12700 Centerville Rd, Chico, CA 95928-8328 | 2010-10-27 |
| Street Address |
104 ORMSKIRK |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-8941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134373095 | Richard B. Circeo | Radiology | 35 Whittakers Mill Rd, Williamsburg, VA 23185-5534 | 2008-11-05 |
| 1356594352 | Jonathan Lavery Stolz | Radiology | 145 Captaine Graves, Williamsburg, VA 23185-8906 | 2008-11-04 |
| 1376554683 | Melinda Martin Dunn | Radiology | 400 Sentara Circle, Getty Outpatient Center Womens Imaging Center, Williamsburg, VA 23188 | 2006-08-11 |
| 1316958580 | Matthew C Allison | Radiology | 2824 Bennetts Pond Rd, Williamsburg, VA 23185 | 2006-08-11 |
| 1235119827 | Raymond E. Bozman | Radiology | 114 Edward Wyatt Dr, Williamsburg, VA 23188-6439 | 2006-01-19 |
| 1144204322 | Donald E La Vay | Radiology | 109 George Sandys, Williamsburg, VA 23185-8938 | 2005-12-01 |
| 1790029320 | Vpa PC | Radiology | 263 Mclaws Cir Ste 105, Williamsburg, VA 23185-5674 | 2012-11-20 |
| 1285945873 | Joshua Forrest Stephenson | Radiology | 100 Sentara Cir, Williamsburg, VA 23188 | 2010-06-29 |
| 1427251073 | Aleisha Johnson | Radiology | 5424 Discovery Park Blvd., Suite 109, Williamsburg, VA 23188-4430 | 2007-06-08 |
| 1164537213 | Michael Salvatore Montileone | Radiology | 100 Sentara Circle, Sentara Williamsburg Regional Medical Center, Williamsburg, VA 23188 | 2006-08-20 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.