RIVERSIDE PHYSICIAN SERVICES INC NPI 1083867311

NPI Information

  • NPI: 1083867311
  • Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE GASTROENTEROLOGY SPECIALISTS WILLIAMSBURG
  • CLIA Number: 49D1102003
  • Address: 120 KINGS WAY STE 3500
    WILLIAMSBURG, VA
    ZIP 23185
  • Phone: (757) 221-0750

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is a gastroenterology internal medicine in Williamsburg, VA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1083867311. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Gastroenterology Specialists Williamsburg.

The provider's business location address is:

120 KINGS WAY STE 3500
WILLIAMSBURG, VA
ZIP 23185-511
Phone: (757) 221-0750
Fax: (757) 229-5168

The provider's authorized official is Billie Jo Brown .
The authorized official title is Credentialing Manager and has the following contact phone number (757) 316-5901.

The CLIA number assigned to this NPI record is 49D1102003 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2008 and was last updated on 12/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyVIRGINIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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