RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1053656967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053656967 |
Entity Type | Organization |
Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
Other Organization Name | RIVERSIDE RHEUMATOLOGY SPECIALISTS |
Practice Address |
850 Enterprise Pkwy Suite 2000 Hampton VA 23666-6251 |
Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
Practice Telephone | 7575346109 |
Practice Fax Number | 7575346096 |
Mailing Telephone | 7575944006 |
Mailing Fax Number | 7575345190 |
Enumeration Date | 2012-12-04 |
Last Update Date | 2015-10-07 |
Authorized Official Name | JAMES E LESNICK (VICE PRESIDENT) |
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 |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
VA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Riverside Rheumatology Specialists | 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 |
850 ENTERPRISE PKWY SUITE 2000 |
City | HAMPTON |
State | VA |
Zip Code | 23666-6251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235133075 | Martha Elizabeth Mitchell | Anesthesiology | 850 Enterprise Pkwy, Hampton, VA 23666-6251 | 2005-06-09 |
1225572993 | Ann Frial Smith | Registered Nurse | 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666-6251 | 2016-12-14 |
1144672023 | Jacqueline Smola | Physician Assistant | 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666-6251 | 2016-07-05 |
1720344195 | Katherine Alice Werner | Dietitian, Registered | 850 Enterprise Pkwy, Suite 1300, Hampton, VA 23666-6251 | 2012-04-10 |
1073800496 | Riverside Physician Services Inc | Physical Medicine & Rehabilitation | 850 Enterprise Pkwy, Suite 1300, Hampton, VA 23666-6251 | 2011-07-06 |
1003076696 | Un Chong Kim | Nurse Practitioner | 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666-6251 | 2008-06-17 |
1134399066 | Riverside Physician Services Inc | Internal Medicine | 850 Enterprise Pkwy, Ste 2200, Hampton, VA 23666-6251 | 2008-03-06 |
1801083852 | Riverside Physicians Services Inc | Family Medicine | 850 Enterprise Pkwy, Ste 1300, Hampton, VA 23666-6251 | 2007-10-03 |
1588869903 | Tahanie Osman | Family Medicine | 850 Enterprise Pkwy, Suite 2200, Hampton, VA 23666-6251 | 2007-06-16 |
1366647927 | Riverside Physician Services Inc | Orthopaedic Surgery | 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666-6251 | 2007-06-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
Find all providers in zip 23666 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598020935 | Stacy Tanner | Internal Medicine | 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666-6252 | 2012-07-11 |
1144365198 | Robert M Kowalewski | Internal Medicine | 4000 Coliseum Dr Ste 310, Hampton, VA 23666-5983 | 2007-02-20 |
1770961237 | Sentara Medical Group | Internal Medicine | 4000 Coliseum Dr, Ste 310, Hampton, VA 23666-5906 | 2015-05-15 |
1063815116 | Sentara Medical Group | Internal Medicine | 4000 Coliseum Dr Ste 310, Hampton, VA 23666-5983 | 2014-10-03 |
1831446020 | Narayana Swamy | Internal Medicine | 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666-6252 | 2012-08-07 |
1285889287 | Hampton Roads Arthritis Center | Internal Medicine | 2115 Executive Dr, Suite 6c, Hampton, VA 23666-2499 | 2008-11-18 |
1427132695 | Walter Rudolph Wallingford | Internal Medicine | 2115 Executive Dr, Suite 6c, Hampton, VA 23666-2499 | 2006-10-24 |
1245290907 | David B Maxwell | Internal Medicine | 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666-6251 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417334640 | Rabia Gill | Internal Medicine | 5504 Riverside Heights Way, Richmond, VA 23225-2477 | 2015-04-27 |
1821495656 | Arthritis and Rheumatology Clinical Center of Northern Virginia, Pllc | Internal Medicine | 8130 Boone Blvd Ste 340, Vienna, VA 22182-2640 | 2014-11-21 |
1225441363 | Peter Ellis Lipsky | Internal Medicine | 1545 London Rd, Charlottesville, VA 22901-8881 | 2014-06-06 |
1457770216 | Nishant Desai | Internal Medicine | 9221 Stony Crest Cir Apt 325, Richmond, VA 23235-6894 | 2014-04-09 |
1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
1477804680 | Collaborative Arthritis Care, Inc | Internal Medicine | 300a Temple Lake Dr Ste 1, Colonial Heights, VA 23834-2972 | 2012-09-27 |
1922366012 | Advanced Arthritis and Rheumatology Care, PC | Internal Medicine | 2324 Colony Crossing Pl, Midlothian, VA 23112-4280 | 2012-04-26 |
1669783221 | Timothy James Henshaw | Internal Medicine | 6335 Corntassel Ln, Roanoke, VA 24018-5625 | 2010-06-29 |
1396063319 | Yousef Zarbalian | Internal Medicine | 6800 Fleetwood Rd Ste 110, Mc Lean, VA 22101-3604 | 2010-05-14 |
1962657411 | Gineth Paola Pinto-patarroyo | Internal Medicine | 8100 Ashton Ave Ste 215, Manassas, VA 20109-5688 | 2008-11-25 |
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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.