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RIVERSIDE PHYSICIAN SERVICES INC NPI 1417495367


NPI Information

NPI: 1417495367
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC

Doing Business As: RIVERSIDE RADIATION ONCOLOGY SPECIALISTS-SHORE

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 49D1038524

Address:
20480 MARKET STREET
ONANCOCK, VA
ZIP 23417
Phone: (757) 302-2600
Get Directions

RIVERSIDE PHYSICIAN SERVICES INC is a radiation oncology radiology in Onancock, VA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1417495367. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Radiation Oncology Specialists-shore.

The provider's business location address is:

20480 MARKET STREET
ONANCOCK, VA
ZIP 23417
Phone: (757) 302-2600

The provider's authorized official is Braden Miller .
The authorized official title is Cfo and has the following contact phone number (757) 316-5800.

The CLIA number assigned to this NPI record is 49D1038524 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2017 and was last updated on 2/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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