# RIVERSIDE PHYSICIAN SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERSIDE PHYSICIAN SERVICES INC
- **Other names:** Riverside Partners in Women's Health Williamsburg
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750565545
- **Legal business name:** RIVERSIDE PHYSICIAN SERVICES INC
- **Authorized official:** BRADEN MILLER (CFO)
- **Authorized official phone:** (757) 316-5906

## Contact information

- **Practice address:** 3700 BATTERY BLVD STE 300, WILLIAMSBURG, VA 23185-4888
- **Practice address phone:** (757) 253-5600
- **Practice address fax:** (757) 253-0819
- **Mailing address:** 856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
- **Mailing address phone:** (757) 594-4006
- **Mailing address fax:** (757) 534-5190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2007
- **Last updated:** 05/08/2024
