# RIVERSIDE PHYSICIAN SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERSIDE HEALTHCARE ASSOCIATES INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710020623
- **Legal business name:** RIVERSIDE HEALTHCARE ASSOCIATES INC
- **Authorized official:** BRADEN MILLER (CFO)
- **Authorized official phone:** (757) 316-5906

## Contact information

- **Practice address:** 856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
- **Practice address phone:** (757) 594-4006
- **Practice address fax:** (757) 534-5190
- **Mailing address:** 856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
- **Mailing address phone:** (757) 316-5800
- **Mailing address fax:** (757) 534-5190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | VA | — |
| 207Q00000X | Family Medicine Physician | — | VA | Yes |
| 207R00000X | Internal Medicine Physician | — | VA | — |
| 207W00000X | Ophthalmology Physician | — | VA | — |
| 207X00000X | Orthopaedic Surgery Physician | — | VA | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | VA | — |
| 207Y00000X | Otolaryngology Physician | — | VA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | VA | — |
| 2084N0400X | Neurology Physician | — | VA | — |
| 2085R0001X | Radiation Oncology Physician | — | VA | — |
| 208600000X | Surgery Physician | — | VA | — |
| 2086S0129X | Vascular Surgery Physician | — | VA | — |
| 208800000X | Urology Physician | — | VA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | VA | — |
| 208M00000X | Hospitalist Physician | — | VA | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 02/25/2026