Riverside Physician Services Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Doing business as

Riverside Gastroenterology Specialists

Practice address

850 Enterprise Pkwy Ste 2000
Hampton, VA 23666-6252

Phone

(757) 599-6333

Fax

(757) 591-7261

NPI assigned

Jul 21, 2006

Organization subpart

Yes

Parent organization

RIVERSIDE HEALTHCARE ASSOCIATES, INCAs reported in NPPES

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

Authorized official

Name

Braden Miller

Title

Cfo

Phone

(757) 316-5906

Specialties & licenses 1

Addresses

Other names 1

• Riverside Gastroenterology Specialists 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

Member of 1

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

• Rector & Visitors of the University of Virginia

  dba UVA-Staunton Dialysis

  • 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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1265453823",
    "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": "850 ENTERPRISE PKWY STE 2000",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666252",
            "telephone_number": "757-599-6333",
            "fax_number": "757-591-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE HEALTHCARE ASSOCIATES, INC",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRADEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-316-5906"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Gastroenterology Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rivers Health & Family Services LLC
• Riverside Convalescent Centers, Inc. (Riverside Rehabilitation Center at Hampton)
• Riverside Hospital Inc (Riverside Behavioral Health Center)
• Riverside Physician Services Inc (Riverside Rheumatology Specialists)
• Riverside Physician Services Inc (Riverside Center for Internal and Family Medicine)
• Riverside Physician Services Inc (Riverside Partners in Women's Health Hampton)
• Riverside Physician Services Inc (Riverside Behavioral Health Center)
• Riverside Physician Services Inc (Riverside Orthopedic Specialists)
• Riverside Physician Services Inc (Hampton Roads Neurology-Hampton)
• Riverside Physician Services Inc

• Gastroenterology Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.