Riverside Physcian Services Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

RIVERSIDE PHYSCIAN SERVICES INC

Practice address

2855 Denbigh Blvd
Grafton, VA 23692-6501

Phone

(757) 750-2200

NPI assigned

Jul 15, 2006

Organization subpart

Yes

Parent organization

RIVERSIDE HEALTHCARE ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Billie Jo Brown

Title

Credentialing Manager

Phone

(757) 316-5901

Specialties & licenses 1

Addresses

Other names 1

• Riverside Partners in Women's Health Grafton Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

RPS Ta Rvrsde Tpphnck GRP

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1124044599",
    "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": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 DENBIGH BLVD",
            "city": "GRAFTON",
            "state": "VA",
            "postal_code": "236926501",
            "telephone_number": "757-750-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSCIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE HEALTHCARE ASSOCIATES",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BILLIE JO",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "757-316-5901"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Partners in Women's Health Grafton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent Byron McQuain, O.D.
• Marybeth Morgan, PHYSICIAN ASSISTANT
• Felicia Nguyen, PHARMD
• Robert Plemmons Jr., RPH
• Rite Aid of Virginia Inc
• Riverside Physician Services Inc
• Glenn D Shean, LCP
• Vanessa Sherlock, COTA/L
• Lois W Shields, NP
• William Jennings Shields, MD

• Obstetrics & Gynecology Physician in Grafton, VA
• Providers in Grafton, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.