RIVERSIDE MEDICAL GROUP - SHORE
NPI 1801334297
Surgery in Onancock, VA

NPI Status: Active since February 06, 2017

Contact Information

20486 MARKET STREET
ONANCOCK, VA
ZIP 23417
Phone: (757) 302-2700
Fax: (757) 787-9262

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  • Organization
  • Surgery
  • CLIA Number: 49D0661183
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About RIVERSIDE MEDICAL GROUP - SHORE

This page provides the complete NPI Profile along with additional information for Riverside Medical Group - Shore, a provider established in Onancock, Virginia operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1801334297 assigned on February 2017. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Riverside Medical Group - Shore operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Riverside Medical Group - Shore. The authorized official of this NPI record is Braden Miller (Cfo)

NPI
1801334297
Provider Legal Name
RIVERSIDE PHYSICIAN SERVICES INC
Other Organization Name
RIVERSIDE MEDICAL GROUP - SHORE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
20486 MARKET STREET ONANCOCK, VA 23417
Location Phone
(757) 302-2700
Location Fax
(757) 787-9262
Mailing Address
856 J CLYDE MORRIS BLVD SUITE A NEWPORT NEWS, VA 23601
Mailing Phone
(757) 316-5960
Mailing Fax
(757) 787-9262
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-06-2017
Last Update Date
02-06-2017
Code Navigator

A surgeon like Riverside Medical Group - Shore treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License State
VA
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

(VA)
2207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

(VA)
3207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

(VA)
4207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

(VA)
5207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

(VA)
6207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

(VA)
7207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

(VA)
8213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

(VA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRADEN MILLER

Authorized Official Title
CFO
Authorized Official Phone
(757) 316-5800

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
49D0661183
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. DAVID M. SMITH
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Riverside Medical Group - Shore on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for RIVERSIDE MEDICAL GROUP - SHORE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801334297, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 6 + 3 + 8 + 2 + 1 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1801334297.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Speech-Language Pathologist
20486 MARKET STREET
ONANCOCK, VA 23417
Physician Assistant
20486 MARKET STREET
ONANCOCK, VA 23417
Family Medicine
20486 MARKET STREET
ONANCOCK, VA 23417
Urology
20486 MARKET STREET
ONANCOCK, VA 23417
Internal Medicine (Gastroenterology)
20486 MARKET STREET
ONANCOCK, VA 23417
Nurse Practitioner (Family)
20486 MARKET STREET
ONANCOCK, VA 23417
Obstetrics & Gynecology
20486 MARKET STREET
ONANCOCK, VA 23417
Internal Medicine (Critical Care Medicine)
20486 MARKET STREET
ONANCOCK, VA 23417
Nurse Practitioner (Family)
20486 MARKET STREET
ONANCOCK, VA 23417
Internal Medicine (Pulmonary Disease)
20486 MARKET STREET
ONANCOCK, VA 23417
Obstetrics & Gynecology
20486 MARKET STREET
ONANCOCK, VA 23417
Orthopaedic Surgery
20486 MARKET STREET
ONANCOCK, VA 23417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801334297, enumerated as an "organization" on February 06, 2017.

The provider is located at 20486 MARKET STREET ONANCOCK, VA 23417 and the phone number is (757) 302-2700.

Surgery with taxonomy code 208600000X.