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RIVERSIDE RADIATION ONCOLOGY SPECIALISTS-SHORE
NPI 1417495367
Radiology - Radiation Oncology in Onancock, VA

Active since February 10, 2017CLIA 49D1038524 · Waiver
20480 MARKET STREET, ONANCOCK, VA 23417(757) 302-2600 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Riverside Radiation Oncology Specialists-shore NPPES

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

RIVERSIDE RADIATION ONCOLOGY SPECIALISTS-SHORE (NPI 1417495367) is a healthcare organization registered as a radiation oncology in Onancock, Virginia and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Braden Miller, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417495367
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameRIVERSIDE PHYSICIAN SERVICES INC
Location Address20480 MARKET STREETOnancock, VA 23417
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 316-5960 · Fax (757) 534-5190
Phone(757) 302-2600
Organization SubpartYesParent: Riverside Healthcare Associates
Authorized OfficialBraden MillerCfo · (757) 316-5800
Enumeration DateFebruary 10, 2017
✔ NPI 1417495367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

20480 MARKET STREET, Onancock, VA 23417
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Other Names 1

Doing Business AsRiverside Radiation Oncology Specialists-shore

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 49D1038524

Riverside Shore Cancer Institute · Onancock, VA
Active · expires Mar 21, 2027
CLIA Number49D1038524
Laboratory TypeOther
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorLaura Kerbin
Laboratory Phone(757) 302-2600
Laboratory LocationRiverside Shore Cancer Institute20480 Market Street, Onancock, VA 23417
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

PENINSULA CANCER INSTITUTE LLC
Internal Medicine (Hematology & Oncology)
20480 MARKET STREET
ONANCOCK, VA 23417
Accomack County (757) 302-2600
RIVERSIDE PHYSICIAN SERVICES, INC
Hospitalist
20480 MARKET STREET
ONANCOCK, VA 23417
Accomack County (757) 302-2342
DR. JEFFERSON EADDY CARTER MOULDS M.D.
Radiology (Radiation Oncology)
20480 MARKET STREET
ONANCOCK, VA 23417
Accomack County (757) 302-2600

Frequently Asked Questions

What is RIVERSIDE PHYSICIAN SERVICES INC's NPI number?

The NPI number assigned to this healthcare provider is 1417495367, enumerated as an "organization" on February 10, 2017.

Where is the provider located?

The provider is located at 20480 MARKET STREET ONANCOCK, VA 23417 and the phone number is (757) 302-2600.

What is the provider's specialty?

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.