RIVERSIDE ORTHOPEDIC, SPORTS MEDICINE & PHYSIATRY SPECIALISTS – NPI #1295139087
Clinic/Center

RIVERSIDE ORTHOPEDIC, SPORTS MEDICINE & PHYSIATRY SPECIALISTS is an AHC clinic located in NEWPORT NEWS, VA. NPPES has assigned the NPI number 1295139087 to RIVERSIDE ORTHOPEDIC, SPORTS MEDICINE & PHYSIATRY SPECIALISTS on October 22, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RIVERSIDE ORTHOPEDIC, SPORTS MEDICINE & PHYSIATRY SPECIALISTS” is a dba name, the actual legal business name for this organization is RIVERSIDE PHYSICIAN SERVICES INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 5 years ago on Apr 12, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERSIDE ORTHOPEDIC, SPORTS MEDICINE & PHYSIATRY SPECIALISTS below.

NPI Profile for
RIVERSIDE PHYSICIAN SERVICES INC

NPI Number
1295139087
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVERSIDE PHYSICIAN SERVICES INC
Doing Business As (dba): RIVERSIDE ORTHOPEDIC, SPORTS MEDICINE & PHYSIATRY SPECIALISTS
Primary location
12200 WARWICK BLVD STE 490
NEWPORT NEWS, VA 23601-2548
Phone: (757) 534-9988 Fax: (757) 534-5688
Mailing address
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS, VA 23601-1318
Phone: (757) 316-5800 Fax: (757) 534-5190
Organization Subpart
Yes - RIVERSIDE ORTHOPEDIC, SPORTS MEDICINE & PHYSIATRY SPECIALISTS is subpart of another organization.
Authorized Official
CAITLIN CARDEN
CREDENTIALING SPECIALIST
Phone: (757) 316-5800
Updated
Certification Date
Apr 12, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.