RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1053339010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053339010 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | RIVERSIDE WARSAW MEDICAL ARTS |
| Practice Address |
16 Delfae Dr Warsaw VA 22572-4281 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 8043331260 |
| Practice Fax Number | 8043333796 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | JAMES LESNICK (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7575944006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE HEALTHCARE ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Warsaw Medical Arts | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295139087 | Riverside Physician Services Inc | Physical Medicine & Rehabilitation | 109 Philip Roth St Ste 490, Newport News, VA 23606-1393 | 2014-10-22 |
| 1588914378 | Riverside Physician Services Inc | Orthopaedic Surgery | 11224 Lankford Hwy, Temperanceville, VA 23422 | 2012-09-19 |
| 1003118860 | Riverside Physician Services Inc | Internal Medicine | 4917 Richmond Tappahannock Hwy, Suite 1-b, Aylett, VA 23009-3416 | 2010-11-30 |
| 1114170446 | Riverside Physician Services Inc | Psychiatry & Neurology | 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 | 2008-10-30 |
| 1114170552 | Riverside Physician Services Inc | Otolaryngology | 7552 Hospital Dr Ste 302, Gloucester, VA 23061-4178 | 2008-10-29 |
| 1851314934 | Riverside Physician Services Inc | Urology | 668 Hospital Road, Bldg B Suite 300, Tappahannock, VA 22560 | 2006-07-26 |
| 1245252253 | Riverside Physician Services Inc | Obstetrics & Gynecology | 648 Hospital Road, Suite B-305, Tappahannock, VA 22560 | 2006-07-25 |
| 1104847854 | Riverside Physician Services Inc | Surgery | 7547 Medical Drive, Suite 1500, Gloucester, VA 23061 | 2006-07-21 |
| 1609897347 | Riverside Physician Services Inc | Orthopaedic Surgery | 7554 Hospital Drive, Suite 202a, Gloucester, VA 23061 | 2006-07-21 |
| 1699796359 | Riverside Physician Services Inc | Internal Medicine | 7560 Hospital Drive, Suite 101, Gloucester, VA 23061 | 2006-07-21 |
| Street Address |
16 DELFAE DR |
| City | WARSAW |
| State | VA |
| Zip Code | 22572-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992769681 | Sharon Renee Band | Pediatrics | 16 Delfae Dr, Warsaw, VA 22572-4281 | 2006-04-12 |
| 1942763040 | Ashlee R Lee | Nurse Practitioner | 16 Delfae Dr, Warsaw, VA 22572-4281 | 2019-04-08 |
| 1851862221 | Kelsi English Lowe | Nurse Practitioner | 16 Delfae Dr, Warsaw, VA 22572-4281 | 2018-12-11 |
| 1174003974 | Amber Sky Angelidis | Nurse Practitioner | 16 Delfae Dr, Warsaw, VA 22572-4281 | 2018-08-21 |
| 1740414234 | William Edward Dameron | Family Medicine | 16 Delfae Dr, Warsaw, VA 22572-4281 | 2009-05-12 |
| 1548457815 | Laila Q Jennings | Nurse Practitioner | 16 Delfae Dr, Warsaw, VA 22572-4281 | 2007-10-01 |
| 1407884307 | Teresa G Williams | Nurse Practitioner | 16 Delfae Dr, Warsaw, VA 22572-4281 | 2006-06-29 |
| 1003870262 | Alison Ensor Dunn | Pediatrics | 16 Delfae Dr, Warsaw, VA 22572-4281 | 2006-04-14 |
| 1952365918 | Richard Kindley Dunn | Family Medicine | 16 Delfae Dr, Warsaw, VA 22572-4281 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780059840 | The Long Advocacy Group | PACE Provider Organization | 483 Main Street, Warsaw, VA 22572 | 2015-12-01 |
| 1194022814 | Richmond County School Board | Local Education Agency (LEA) | 460 Main St., Warsaw, VA 22572 | 2011-02-15 |
| 1003053158 | Richmond County Board of Supervisors | Ambulance | 101 Court Circle, Warsaw, VA 22572 | 2009-01-12 |
| 1497945620 | Mathieu W Sisk | Chiropractor | 111 Hamilton Blvd, Warsaw, VA 22572 | 2007-07-25 |
| 1942320247 | Clayton E Neal | Social Worker | 414 Main St., Warsaw, VA 22572 | 2007-03-30 |
| 1700988029 | Northern Neck Physical Therapy Limited Partnership | Physical Therapist | 6128 Richmond Road, Warsaw, VA 22572 | 2006-09-05 |
| 1285671818 | Sarah Sherrod Taliaferro | Physical Therapist | 6128 Richmond Rd, Warsaw, VA 22572 | 2006-06-01 |
| 1689624660 | Richmond County Rescue Squad | Ambulance | 6674 Richmond Rd, Warsaw, VA 22572 | 2006-05-11 |
| 1447208012 | Irina P Chandler | Dentist | 253 Main Street, Warsaw, VA 22572 | 2006-05-05 |
| 1124081963 | Dca of Warsaw LLC | Clinic/Center | 4709 Richmond Road, Warsaw Village Shopping Center, Warsaw, VA 22572 | 2006-04-11 |
| Find all providers in zip 22572 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205948486 | Warsaw Health System LLC | Family Medicine | 1210 Provident Dr, Suite B, Warsaw, IN 46580-3266 | 2006-08-31 |
| 1730101759 | Robert Theodore Longshore | Family Medicine | 870 Us Hwy 42 W, Warsaw, KY 41095-9323 | 2006-07-25 |
| 1427083435 | Qutubuddin Karamat Dar | Family Medicine | 31 Duncan St, Suite 1, Warsaw, NY 14569-1017 | 2006-07-11 |
| 1598798407 | Ccmh Corporation | Family Medicine | 202 Franklin Street, Warsaw, KY 41095 | 2006-07-07 |
| 1063448231 | Abayomi S Adediran | Family Medicine | 113 S Pine St, Warsaw, NC 28398-1924 | 2006-06-22 |
| 1972546927 | Erin B Jungbauer | Family Medicine | 1210 Provident Drive, Ste B, Warsaw, IN 46580 | 2006-06-14 |
| 1831151869 | Shawn E Kidder | Family Medicine | 2235 Dubois Drive, Warsaw, IN 46580-3212 | 2006-04-05 |
| 1467428318 | Gary M Pitts | Family Medicine | 2300 Dubois Dr, Warsaw, IN 46580-3213 | 2006-02-28 |
| 1295705622 | Community Health Centers of Southeastern Iowa Inc | Family Medicine | 345 Polk St, Warsaw, IL 62379-1033 | 2006-01-26 |
| 1972591030 | Theodore J Beltz | Family Medicine | 1765 Commercial St, Warsaw, MO 65355-3096 | 2005-10-12 |
| Find all providers in WARSAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.