RIVERSIDE PHYSICIAN SERVICES INC NPI 1649296286

NPI Information

  • NPI: 1649296286
  • Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE VASCULAR SPECIALISTS WILLIAMSBURG
  • CLIA Number: 49D2054099
  • Address: 3700 BATTERY BLVD STE 302
    WILLIAMSBURG, VA
    ZIP 23185
  • Phone: (757) 229-7939

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is a vascular surgery surgery in Williamsburg, VA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1649296286. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Riverside Vascular Specialists Williamsburg.

The provider's business location address is:

3700 BATTERY BLVD STE 302
WILLIAMSBURG, VA
ZIP 23185-888
Phone: (757) 229-7939
Fax: (757) 229-7897

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 49D2054099 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/15/2006 and was last updated on 5/6/2024.

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
12086S0129XSurgeryVascular SurgeryYes

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: 3/30/2025

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