RIVERSIDE PHYSICIAN SERVICES INC NPI 1255759429

NPI Information

  • NPI: 1255759429
  • Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE INFECTIOUS DISEASE SPECIALISTS
  • CLIA Number: 49D2164838
  • Address: 12420 WARWICK BLVD
    SUITE 4C
    NEWPORT NEWS, VA
    ZIP 23606
  • Phone: (757) 596-7115

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is an infectious disease internal medicine in Newport News, VA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1255759429. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Infectious Disease Specialists.

The provider's business location address is:

12420 WARWICK BLVD
SUITE 4C
NEWPORT NEWS, VA
ZIP 23606-001
Phone: (757) 596-7115
Fax: (757) 596-7127

The provider's authorized official is Braden Miller .
The authorized official title is Cfo and has the following contact phone number (757) 316-5900.

The CLIA number assigned to this NPI record is 49D2164838 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2014 and was last updated on 5/3/2017.

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
1207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C03953MEDICARE PINVIRGINIA

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: 11/21/2025

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