RIVERSIDE PHYSICIAN SERVICES INC - NPI 1114170552 - Otolaryngology in Gloucester, VA

Q: What is Riverside Physician Services Inc's NPI number?

The NPI number for Riverside Physician Services Inc is 1114170552. It was assigned to this organization in the NPPES registry on October 29, 2008.

Q: What is Riverside Physician Services Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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About Riverside Physician Services Inc NPPES

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

RIVERSIDE PHYSICIAN SERVICES INC (NPI 1114170552) is a healthcare organization registered as an otolaryngology in Gloucester, Virginia and active in the NPI registry since October 2008. The organization maintains a secondary practice location in Gloucester and lists Braden Miller, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114170552

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameRIVERSIDE PHYSICIAN SERVICES INC

Location Address7552 HOSPITAL DR STE 302Gloucester, VA 23061-4178

Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 594-4006 · Fax (757) 534-5190

Phone(804) 693-6720

Fax(804) 693-9875

Organization SubpartYes

Authorized OfficialBraden MillerCfo · (757) 316-5900

Enumeration DateOctober 29, 2008

Last NPPES UpdateMarch 17, 2018

✔ NPI 1114170552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

7552 HOSPITAL DR STE 302, Gloucester, VA 23061

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Secondary Practice Location 1

Location 17570 Hospital Drive, Bldg. B Suite 105Gloucester, VA 23061 · Phone (804) 693-3478 · Fax (804) 693-3507

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

Other Providers at the Same Location NPPES 5

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

JOHN CONSTANTINE GRETES MD

Internal Medicine (Nephrology)