Riverside Physician Services Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Doing business as

Middle Peninsula General and Vascular Surgery

Practice address

7547 Medical Drive
Suite 1500
Gloucester, VA 23061

Phone

(804) 693-3081

Fax

(804) 693-3283

NPI assigned

Jul 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael J Doucette

Title

Vice President

Phone

(757) 594-4006

Specialties & licenses 2

Addresses

Other names 1

• Middle Peninsula General and Vascular Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1104847854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-594-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 MEDICAL DRIVE",
            "address_2": "SUITE 1500",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "23061",
            "telephone_number": "804-693-3081",
            "fax_number": "804-693-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "DOUCETTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-594-4006"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Peninsula General and Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rite Aid of Virginia Inc (Rite Aid Pharmacy 03698)
• Riverside Emergency Physicians LLP
• Riverside Hospital, Inc (Riverside Cancer Infusion Center-Gloucester)
• Riverside Middle Peninsula Hospital Inc (Riverside Walter Reed Hospital)
• Riverside Middle Peninsula Hospital Inc (Riverside Walter Reed Hospice)
• Riverside Physician Services Inc (Riverside Neurology and Sleep Specialists)
• Riverside Physician Services Inc
• Riverside Physician Services Inc (Riverside Partners in Women's Health Gloucester)
• Riverside Physician Services Inc (Riverside Radiation Oncology Specialists)
• Riverside Physician Services Inc (Riverside Walter Reed Hospitalists)

• Surgery Physician in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.