MEDICARE: RIVERSIDE PHYSICIAN SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician

General Provider Information

NPI Number	:	1134303928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERSIDE PHYSICIAN SERVICES INC

Provider Business Mailing Address
First Line	:	856 J CLYDE MORRIS BLVD
Second Line	:	SUITE A
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23601-1318
Country	:	US
Telephone Number	:	757-594-4006
Fax Number	:	757-534-5190

Provider Business Practice Location Address
First Line	:	120 KINGS WAY STE 3500
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2511
Country	:	US
Telephone Number	:	757-253-0051
Fax Number	:	757-229-9526

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	BILLIE JO BROWN
Credential	:
Telephone Number	:	757-316-5901

Provider Enumeration Date	:	12/28/2007
Last Update Date	:	01/03/2025

Similar Medicare Providers

1831110501 — RIVERSIDE PHYSICIAN SERVICES INC
Practice Location Address:

120 KINGS WAY STE 3500
WILLIAMSBURG, VA
23185-2511

Practice Phone: 757-345-2600
Practice Fax: 757-253-1527

1144411422 — STACY KING SLAT MD
Practice Location Address:

120 KINGS WAY STE 3400
WILLIAMSBURG, VA
23185-2511

Practice Phone: 757-253-5600
Practice Fax:

1083867311 — RIVERSIDE PHYSICIAN SERVICES INC
Practice Location Address:

120 KINGS WAY STE 3500
WILLIAMSBURG, VA
23185-2511

Practice Phone: 757-221-0750
Practice Fax: 757-229-5168

1679918700 — DR. AMANDA P STITELER M.D.
Practice Location Address:

120 KINGS WAY STE 3200
WILLIAMSBURG, VA
23185-2511

Practice Phone: 757-253-0051
Practice Fax: 757-229-9526

1326455221 — DR. CHRISTOPHER JONATHAN COLE DO
Practice Location Address:

120 KINGS WAY STE 3400
WILLIAMSBURG, VA
23185-2511

Practice Phone: 757-253-5600
Practice Fax:

1912390105 — LINDSAY HEFNER WHNP
Practice Location Address:

120 KINGS WAY STE 3400
WILLIAMSBURG, VA
23185-2511

Practice Phone: 757-253-5600
Practice Fax:

Directions to “RIVERSIDE PHYSICIAN SERVICES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.