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
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

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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D1038524
Facility Type
Other
Certificate Effective Date
March 22, 2025
Certificate Expiration Date
March 21, 2027
Laboratory Director
LAURA KERBIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Riverside Radiation Oncology Specialists-shore to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


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

Internal Medicine (Hematology & Oncology)
20480 MARKET STREET
ONANCOCK, VA 23417
Hospitalist
20480 MARKET STREET
ONANCOCK, VA 23417
Radiology (Radiation Oncology)
20480 MARKET STREET
ONANCOCK, VA 23417

Frequently Asked Questions

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

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

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