RIVERSIDE PHYSICIAN SERVICES INC NPI 1801334297

NPI Information

  • NPI: 1801334297
  • Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE MEDICAL GROUP - SHORE
  • CLIA Number: 49D0661183
  • Address: 20486 MARKET STREET
    ONANCOCK, VA
    ZIP 23417
  • Phone: (757) 302-2700

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is a surgery in Onancock, VA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1801334297. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Medical Group - Shore.

The provider's business location address is:

20486 MARKET STREET
ONANCOCK, VA
ZIP 23417
Phone: (757) 302-2700
Fax: (757) 787-9262

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 49D0661183 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 2/6/2017.

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 MedicineVIRGINIANo
2207RC0000XInternal MedicineCardiovascular DiseaseVIRGINIANo
3207RG0100XInternal MedicineGastroenterologyVIRGINIANo
4207RP1001XInternal MedicinePulmonary DiseaseVIRGINIANo
5207T00000XNeurological SurgeryVIRGINIANo
6207V00000XObstetrics & GynecologyVIRGINIANo
7207X00000XOrthopaedic SurgeryVIRGINIANo
8208600000XSurgeryVIRGINIAYes
9213E00000XPodiatristVIRGINIANo

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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