MIDDLE PENINSULA GENERAL AND VASCULAR SURGERY – NPI #1104847854
Surgery

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.

MIDDLE PENINSULA GENERAL AND VASCULAR SURGERY is a surgeon located in GLOUCESTER COURTHOUSE, VA. NPPES has assigned the NPI number 1104847854 to MIDDLE PENINSULA GENERAL AND VASCULAR SURGERY on July 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MIDDLE PENINSULA GENERAL AND VASCULAR SURGERY” 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 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 18 years ago on Feb 25, 2008. 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 MIDDLE PENINSULA GENERAL AND VASCULAR SURGERY below.

NPI Profile for
RIVERSIDE PHYSICIAN SERVICES INC

NPI Number
1104847854
Enumeration Date

(about 20 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): MIDDLE PENINSULA GENERAL AND VASCULAR SURGERY
Primary location
7547 MEDICAL DRIVE
SUITE 1500
GLOUCESTER COURTHOUSE, VA 23061
Phone: (804) 693-3081 Fax: (804) 693-3283
Mailing address
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS, VA 23601-1318
Phone: (757) 594-4006 Fax: (757) 594-2195
Organization Subpart
No
Authorized Official
MICHAEL DOUCETTE
VICE PRESIDENT
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
208600000X
- Surgery (Primary)
2086S0129X
- Surgery / Vascular Surgery

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.