RIVERSIDE RADIATION ONCOLOGY SPECIALISTS - SHORE – NPI #1255874558
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

RIVERSIDE RADIATION ONCOLOGY SPECIALISTS - SHORE is a radiologist located in NASSAWADOX, VA. NPPES has assigned the NPI number 1255874558 to RIVERSIDE RADIATION ONCOLOGY SPECIALISTS - SHORE on November 18, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RIVERSIDE RADIATION ONCOLOGY SPECIALISTS - SHORE” is a dba name, the actual legal business name for this organization is RIVERSIDE PHYSICIAN SERVICES INC. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

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 RADIATION ONCOLOGY SPECIALISTS - SHORE below.

NPI Profile for
RIVERSIDE PHYSICIAN SERVICES INC

NPI Number
1255874558
Enumeration Date

(more than 9 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 RADIATION ONCOLOGY SPECIALISTS - SHORE
Primary location
10085 WILLIAM F BERNART CIRCLE
NASSAWADOX, VA 23413
Phone: (757) 414-8355 Fax: (757) 414-8016
Mailing address
856 J CLYDE MORRIS BLVD STE A
RIVERSIDE MEDICAL GROUP
NEWPORT NEWS, VA 23601-1318
Phone: (757) 594-4006 Fax:
Organization Subpart
Yes - RIVERSIDE RADIATION ONCOLOGY SPECIALISTS - SHORE is subpart of another organization.
Authorized Official
BRADEN MILLER
CHIEF FINANCIAL OFFICER
Phone: (757) 594-4006
Updated
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.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

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.