RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1073800496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073800496 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | RIVERSIDE WEIGHT LOSS SPECIALISTS |
| Practice Address |
850 Enterprise Pkwy Suite 1300 Hampton VA 23666-6251 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7576377637 |
| Practice Fax Number | 7576377642 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | JAMES 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 |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | VA | Allopathic & Osteopathic Physicians | |
| N | 208800000X | Urology | VA | Allopathic & Osteopathic Physicians | |
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Weight Loss 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 1300 |
| 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 |
| 1053656967 | Riverside Physician Services Inc | Internal Medicine | 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666-6251 | 2012-12-04 |
| 1720344195 | Katherine Alice Werner | Dietitian, Registered | 850 Enterprise Pkwy, Suite 1300, Hampton, VA 23666-6251 | 2012-04-10 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588613103 | Carlos E Montenegro | Surgery | 408 Jackson Ave E, Hampton, SC 29924 | 2006-05-09 |
| 1598176380 | Madison Griffin Lashley | Surgery | 77 Nealy Ave Bldg 257, Hampton, VA 23665 | 2014-05-14 |
| 1326300781 | Coastal Carolina Physician Practices, LLC | Surgery | 408 Jackson Ave E, Hampton, SC 29924-3602 | 2012-06-12 |
| 1366700684 | Kenneth Sadler Meyers | Surgery | 3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 | 2012-04-24 |
| 1730310970 | Max Chae | Surgery | 77 Nealy Ave, Hampton, VA 23665-2040 | 2009-08-05 |
| 1285893495 | Robert Benjamin Swanson | Surgery | 77 Nealy Ave, 633d Medical Group, Hampton, VA 23665-2040 | 2008-06-03 |
| 1841474020 | Kelly Michelle Meehan | Surgery | 77 Nealy Ave, Langley Afb, Hampton, VA 23665-2040 | 2007-12-23 |
| 1083801294 | Sentara Medical Group | Surgery | 3000 Coliseum Dr, Suite 200, Hampton, VA 23666-5963 | 2007-10-02 |
| 1497841373 | Hampton Roads Surgical Associates PC | Surgery | 3000 Coliseum Drive, Suite 203, Hampton, VA 23666 | 2006-10-05 |
| 1801991849 | Southern Surgery Specialists, LLC | Surgery | 408 Jackson Ave E, Hampton, SC 29924 | 2006-09-14 |
| Find all providers in HAMPTON | ||||
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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.