RIVERSIDE PHYSCIAN SERVICES INC NPI 1639324890

NPI Information

  • NPI: 1639324890
  • Provider Name: RIVERSIDE PHYSCIAN SERVICES INC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • :
  • CLIA Number: 49D1012294
  • Address: 12200 WARWICK BLVD STE 590B
    NEWPORT NEWS, VA
    ZIP 23601
  • Phone: (757) 594-2074

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NPI Details

RIVERSIDE PHYSCIAN SERVICES INC is a cardiovascular disease internal medicine in Newport News, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. RIVERSIDE PHYSCIAN SERVICES INC NPI is 1639324890. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

12200 WARWICK BLVD STE 590B
NEWPORT NEWS, VA
ZIP 23601-344
Phone: (757) 594-2074
Fax: (757) 594-3369

The provider's authorized official is Billie Jo Brown .
The authorized official title is Credentialing Manager and has the following contact phone number (757) 316-5901.

The CLIA number assigned to this NPI record is 49D1012294 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 10/16/2025.

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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RI0011XInternal MedicineInterventional CardiologyNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

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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