Riverside Physician Services Inc

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Practice address

6750 Main St Ste 200
Gloucester, VA 23061-5517

Phone

(804) 693-2670

Fax

(804) 693-3704

NPI assigned

Jul 18, 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 Gloucester 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rector & Visitors of the University of Virginia

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Staunton, VA
  • NPI 1407212954

  Member Of

  NPD member

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1124046719",
    "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": "6750 MAIN ST STE 200",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615517",
            "telephone_number": "804-693-2670",
            "fax_number": "804-693-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE HEALTHCARE ASSOCIATES",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "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": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Partners in Women's Health Gloucester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Middle Peninsula Hospital Inc
• Riverside Middle Peninsula Hospital Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc

• All providers in Gloucester, VA
• Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.