Theresa G Long (NPI# 1831300888, PAC ID# 3971665852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831300888 |
| PAC ID by PECOS | 3971665852 |
| Professional Enrollment ID | I20081231000404 |
| Full Name | Theresa G Long |
| Organization Legal Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Address |
10085 William F Bernart Circle Nassawadox VA 23413 |
| Phone Number | 7574426600 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092608448 |
| Number of Group Practice Members | 581 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490037 | RIVERSIDE SHORE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10085 William F Bernart Circle, Nassawadox, VA 23413 | 7574426600 | RIVERSIDE PHYSICIAN SERVICES INC |
| 10243 Rogers Dr, Nassawadox, VA 23413 | 7574426719 | RIVERSIDE PHYSICIAN SERVICES INC |
| Organization Legal Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Physicians | 606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Alene Keith | Nurse Practitioner | Riverside Physician Services Inc | 209 Village Ave, Suite P, Tabb, VA 23693-5639 |
| Aarika L Turner | Nurse Practitioner | Riverside Physician Services Inc | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 |
| Priscilla A Bullen | Nurse Practitioner | Riverside Physician Services Inc | 12 Bruton Ave, Newport News, VA 23601-1602 |
| Hemchand Ramberan | Gastroenterology | Riverside Physician Services Inc | 101 Philip Roth St, Suite 5 A, Newport News, VA 23606-1393 |
| Scott Kaufman | Cardiac Electrophysiology | Riverside Physician Services Inc | 7544 Hospital Dr, Suite 202a, Gloucester, VA 23061-4178 |
| Jorge Rodolfo Rivera-irias | Critical Care (intensivists) | Riverside Physician Services Inc | 20486 Market St, Onancock, VA 23417-4309 |
| Raven B Custalow | Nurse Practitioner | Riverside Physician Services Inc | 17452 Richmond Rd, Callao, VA 22435-2420 |
| Dawn Marie Brown | General Surgery | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Prakash Mohan Kafle | Infectious Disease | Riverside Physician Services Inc | 12420 Warwick Blvd, 4c Riverside Infectious Disease Specialists, Newport News, VA 23606-3001 |
| Molly Massey | Nurse Practitioner | Riverside Physician Services Inc | 4917 Richmond Tappahannock Hwy 1, Aylett, VA 23009-3416 |
| Street Address |
10085 WILLIAM F BERNART CIRCLE |
| City | NASSAWADOX |
| State | VA |
| Zip | 23413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette M Sessoms | Nurse Practitioner | Riverside Physician Services Inc | 10085 William F Bernart Circle, Nassawadox, VA 23413 |
| Robert M Paschall | Neurology | Riverside Physician Services Inc | 10085 William F Bernart Circle, Nassawadox, VA 23413 |
| David F Jones | Pulmonary Disease | Riverside Physician Services Inc | 10085 William F Bernart Circle, Nassawadox, VA 23413 |
| Annette Stephanie Hempel | Nurse Practitioner | Riverside Physician Services Inc | 10085 William F Bernart Circle, Nassawadox, VA 23413 |
| Jody Ann Chance | Nurse Practitioner | Riverside Physician Services Inc | 10085 William F Bernart Circle, Nassawadox, VA 23413 |
| Tammy Hedspeth | Nurse Practitioner | Riverside Physician Services Inc | 10085 William F Bernart Circle, Nassawadox, VA 23413 |
| John W Snyder Jr. | Family Medicine | Riverside Physician Services Inc | 10085 William F Bernart Circle, Nassawadox, VA 23413 |
| Lloyd J Kellam Iii | Cardiac Surgery | Riverside Physician Services Inc | 10085 William F Bernart Circle, Nassawadox, VA 23413 |
| Christopher J Mueller | Podiatry | Riverside Physician Services Inc | 10085 William F Bernart Circle, Nassawadox, VA 23413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra Castner | Nurse Practitioner | Nephrology Associates of Tidewater Ltd | 9550 Hospital Ave, Nassawadox, VA 23413 |
| Kenneth R Blair | Nurse Practitioner | Riverside Physician Services Inc | 9506 Hospital Ave, Nassawadox, VA 23413 |
| Jennifer Bell Ross | Nurse Practitioner | Riverside Physician Services Inc | 9536 Hospital Ave, Gastroenterology Specialists, Nassawadox, VA 23413 |
| Harold S Blumenthal | Internal Medicine | Ghent Internal Medicine PC | 9468 Hospital Ave, Nassawadox, VA 23413 |
| Elizabeth Reinoehl | Obstetrics/gynecology | Riverside Physician Services Inc | 10243 Rogers Dr, Nassawadox, VA 23413 |
| Laura D Kerbin | Medical Oncology | Peninsula Cancer Institute, LLC | 10085 William F Bernart Cir, Nassawadox, VA 23413 |
| Alamgir Mirza | Internal Medicine | Nephrology Associates of Tidewater Ltd | 9550 Hospital Ave, Nassawadox, VA 23413 |
| Marissa N Blair | Certified Nurse Midwife (cnm) | Riverside Physician Services Inc | 10243 Rogers Dr, Nassawadox, VA 23413 |
| John L Bulette | Psychiatry | 10150 Rogers Dr, Nassawadox, VA 23413 | |
| David R Scott | Obstetrics/gynecology | Riverside Physician Services Inc | 10243 Rogers Dr, Nassawadox, VA 23413 |
| Find all physicians in zip 23413 | |||
| City | NASSAWADOX |
| Zip Code | 23413 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NASSAWADOX + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.