RIVERSIDE PHYSICIAN SERVICES INC NPI 1467962662

NPI Information

  • NPI: 1467962662
  • Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE PRIMARY CARE KILN CREEK
  • CLIA Number: 49D2139638
  • Address: 209 VILLAGE AVE STE P
    YORKTOWN, VA
    ZIP 23693
  • Phone: (757) 316-5050

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is a family medicine in Yorktown, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1467962662. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Primary Care Kiln Creek.

The provider's business location address is:

209 VILLAGE AVE STE P
YORKTOWN, VA
ZIP 23693-639
Phone: (757) 316-5050

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 49D2139638 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/3/2017 and was last updated on 10/3/2017.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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