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RIVERSIDE INTERNAL MEDICINE WILLIAMSBURG
NPI 1043589252
Internal Medicine in Williamsburg, VA

Active since December 16, 2011CLIA 49D2301755 · Waiver
3700 BATTERY BLVD STE 200, WILLIAMSBURG, VA 23185(757) 782-6350(757) 808-7010 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Internal Medicine Williamsburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE INTERNAL MEDICINE WILLIAMSBURG (NPI 1043589252) is a healthcare organization registered as an internal medicine in Williamsburg, Virginia and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Billie Jo Brown, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1043589252
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRIVERSIDE PHYSICIAN SERVICES INC
Location Address3700 BATTERY BLVD STE 200Williamsburg, VA 23185-4888
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 594-4006 · Fax (757) 534-5190
Phone(757) 782-6350
Fax(757) 808-7010
Organization SubpartYesParent: Riverside Healthcare Assoicates
Authorized OfficialBillie Jo BrownCredentialing Manager · (757) 316-5901
Enumeration DateDecember 16, 2011
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1043589252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3700 BATTERY BLVD STE 200, Williamsburg, VA 23185
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Other Names 1

Doing Business AsRiverside Internal Medicine Williamsburg

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2301755

Riverside Internal Medicine Williamsburg · Williamsburg, VA
Active · expires Mar 31, 2028
CLIA Number49D2301755
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorKrystal E. Ainsley
Laboratory Phone(757) 782-6350
Laboratory LocationRiverside Internal Medicine Williamsburg3700 Battery Boulevard, Suite 200, Williamsburg, VA 23185
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE PHYSICIAN SERVICES INC
Family Medicine
3700 BATTERY BLVD STE 200
WILLIAMSBURG, VA 23185
York County (757) 316-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Physician Services Inc's NPI number?

The NPI number for Riverside Physician Services Inc is 1043589252. It was assigned to this organization in the NPPES registry on December 16, 2011. The provider is doing business as Riverside Internal Medicine Williamsburg.

Where is Riverside Physician Services Inc located?

Riverside Physician Services Inc is located at 3700 Battery Blvd Ste 200, Williamsburg, VA 23185. The listed phone number is (757) 782-6350.

What is Riverside Physician Services Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Riverside Physician Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2301755) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Physician Services Inc was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.