RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1083867691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083867691 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | RIVERSIDE RENAL SPECIALISTS |
| Practice Address |
739 Thimble Shoals Blvd Suite 801 Newport News VA 23606-3562 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7578731009 |
| Practice Fax Number | 7578737689 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2014-10-14 |
| 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 |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Renal 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 |
739 THIMBLE SHOALS BLVD SUITE 801 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306891585 | Irene Marre-anne White | Nurse Practitioner | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3585 | 2006-05-24 |
| 1689028490 | Divine Home Care Services, LLC | Respite Care | 739 Thimble Shoals Blvd, 503, Newport News, VA 23606-3562 | 2016-04-18 |
| 1134596224 | Peninsula Agency On Aging | Voluntary or Charitable | 739 Thimble Shoals Blvd, Building 1000, Ste 1006, Newport News, VA 23606-3562 | 2015-08-25 |
| 1053726398 | New Directions for Broken Families | Community/Behavioral Health | 739 Thimble Shoals Blvd, Suite 1011-b, Newport News, VA 23606-3562 | 2014-06-25 |
| 1285059519 | Jason Jackson | Counselor | 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 | 2014-02-24 |
| 1285079640 | Loretta Anne Dicamillo | Nurse Practitioner | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 | 2013-04-30 |
| 1023372679 | Ajay S Rathore | Internal Medicine | 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 | 2012-06-28 |
| 1952563454 | Ramchandur Bakhtiani | Internal Medicine | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 | 2008-06-26 |
| 1942417183 | Melisha Bissram | Internal Medicine | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 | 2007-05-17 |
| 1285746735 | Rai Care Centers of Virginia I, LLC | Clinic/Center | 739 Thimble Shoals Blvd, Ste 600, Newport News, VA 23606-3562 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1952671067 | Sumeyye Calp Inal | Internal Medicine | 739 Thimble Shoals Blvd Ste 801, Newport News, VA 23606 | 2012-01-05 |
| 1023372679 | Ajay S Rathore | Internal Medicine | 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 | 2012-06-28 |
| 1952563454 | Ramchandur Bakhtiani | Internal Medicine | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 | 2008-06-26 |
| 1053528307 | Ahmed Amini | Internal Medicine | 12720 Mcmanus Blvd Ste 307, Newport News, VA 23602-4414 | 2007-05-17 |
| 1730104647 | The Center for Renal Medicine, Inc. | Internal Medicine | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3562 | 2006-07-12 |
| 1932137346 | Thomas Alexander Mackenzie | Internal Medicine | 739 Thimble Shoals Blvd, Ste 801, Newport News, VA 23606-3585 | 2006-06-28 |
| 1043248453 | John Constantine Gretes | Internal Medicine | 739 Thimble Shoals Blvd, Ste 801, Newport News, VA 23606-3585 | 2006-06-28 |
| 1780631622 | Robert Joseph Pusateri | Internal Medicine | 739 Thimble Shoals Blvd, Ste 801, Newport News, VA 23606-3585 | 2006-05-27 |
| 1861449704 | David John Connito | Internal Medicine | 739 Thimble Shoals Blvd, Suite 801, Newport News, VA 23606-3585 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416522 | Southwest Virginia Nephrology LLC | Internal Medicine | 4806 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3440 | 2018-11-16 |
| 1780081059 | Belen Nunez | Internal Medicine | 3400 S Crater Rd Ste B, Petersburg, VA 23805-9252 | 2014-12-02 |
| 1770903585 | Salah-ud-din Amjad | Internal Medicine | 480 W Jubal Early Dr Ste 200, Winchester, VA 22601 | 2014-04-19 |
| 1699012005 | Barry S. Strauch | Internal Medicine | 1468 Evans Farm Dr, Mc Lean, VA 22101-5652 | 2013-01-07 |
| 1770858847 | Amanda D. Renaghan | Internal Medicine | 199 Spotnap Rd Ste 1, Charlottesville, VA 22911-8827 | 2012-03-21 |
| 1598080186 | Vineet Kumaar Jassal | Internal Medicine | 3930 Walnut St Ste 101, Fairfax, VA 22030-4750 | 2010-04-07 |
| 1538497698 | James Macleod Cox | Internal Medicine | 4222 Coles Point Way, Glen Allen, VA 23060-7242 | 2009-12-01 |
| 1568625408 | Mahesh Krishnan | Internal Medicine | 1371 Lancia Dr, Mc Lean, VA 22102-2230 | 2008-07-09 |
| 1194907527 | Usama Taha Hussein | Internal Medicine | 1800 Camelot Dr Ste 401, Virginia Beach, VA 23454-2440 | 2007-11-27 |
| 1275720559 | Martha Jefferson Medical Group LLC | Internal Medicine | 590 Peter Jefferson Pkwy Ste 300, Charlottesville, VA 22911-4628 | 2007-10-01 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
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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.