SOUTHSIDE PHYSICIAN NETWORK LLC – NPI #1811146194
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

SOUTHSIDE PHYSICIAN NETWORK LLC is a provider located in COLONIAL HEIGHTS, VA. NPPES has assigned the NPI number 1811146194 to SOUTHSIDE PHYSICIAN NETWORK LLC on September 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 8 years ago on Nov 15, 2018. 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 SOUTHSIDE PHYSICIAN NETWORK LLC below.

NPI Profile for
SOUTHSIDE PHYSICIAN NETWORK LLC

NPI Number
1811146194
Enumeration Date

(about 18 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
SOUTHSIDE PHYSICIAN NETWORK LLC
Primary location
436 CLAIRMONT CT
SUITE 105
COLONIAL HEIGHTS, VA 23834
Phone: (804) 765-5473 Fax: (804) 765-6490
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOANNE AUSTIN
DIRECTOR
Phone: (804) 765-5473
Updated
Identifiers

Identifiers for SOUTHSIDE PHYSICIAN NETWORK LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVA1811146194
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.