RIVERSIDE PHYSICIAN SERVICES, INC (NPI# 1093736605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093736605 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES, INC |
| Practice Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7575944006 |
| Practice Fax Number | 7575345190 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | JAMES E LESNICK (VICE PRESIDENT) |
| Authorized Official Telephone | 7575944006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487960134 | Riverside Physician Services, Inc | Family Medicine | 9524 Hospital Ave, Nassawadox, VA 23413 | 2010-08-19 |
| 1720309925 | Riverside Physician Services, Inc | Internal Medicine | 7552 Hospital Dr, Bldg D Suite 302, Gloucester, VA 23061-4178 | 2010-06-22 |
| 1790001501 | Riverside Physician Services, Inc | Anesthesiology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2010-04-19 |
| 1801127527 | Riverside Physician Services, Inc | Family Medicine | 7364 Richmond Rd, Williamsburg, VA 23188-7220 | 2010-01-20 |
| 1235466384 | Riverside Physician Services, Inc | Neurological Surgery | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1326375478 | Riverside Physician Services, Inc | Internal Medicine | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1871820928 | Riverside Physician Services, Inc | Obstetrics & Gynecology | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1780911834 | Riverside Physician Services, Inc | Orthopaedic Surgery | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1134456288 | Riverside Physician Services, Inc | Otolaryngology | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1861729915 | Riverside Physician Services, Inc | Internal Medicine | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| Street Address |
856 J CLYDE MORRIS BLVD SUITE A |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891023 | Riverside Hospital Inc | Home Health | 856 J Clyde Morris Blvd, Ste C, Newport News, VA 23601-1318 | 2005-06-15 |
| 1720471147 | Eunice Theodor | Nurse Practitioner | 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 | 2015-03-10 |
| 1861686834 | David Russell Williams | Family Medicine | 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 | 2007-08-31 |
| 1710020623 | Riverside Physician Services, Inc. | Anesthesiology | 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 | 2007-02-14 |
| 1043353956 | Riverside Hospital Inc. | Obstetrics & Gynecology | 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 | 2007-02-14 |
| 1124046719 | Riverside Physician Services Inc | Obstetrics & Gynecology | 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 | 2006-07-18 |
| 1235134123 | Riverside Tappahannock Hospital Inc | Home Health | 856 J Clyde Morris Blvd, Suite C, Newport News, VA 23601-1318 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316168990 | Timothy Powell | Urology | 500 J Clyde Morris Blvd Ste 500, Newport News, VA 23601-1929 | 2007-05-01 |
| 1982682084 | Steven Edward Marks | Urology | 11848 Rock Landing Dr, Suite 402, Newport News, VA 23606-4425 | 2006-01-09 |
| 1508093428 | Jack Matthew Zuckerman | Urology | 11848 Rock Landing Dr Ste 402, Newport News, VA 23606 | 2009-06-18 |
| 1912141417 | Ostap Dovirak | Urology | 11848 Rock Landing Dr, Suite 402, Newport News, VA 23606-4425 | 2009-04-28 |
| 1982847703 | John Julius Mcgill | Urology | 11848 Rock Landing Dr, Suite 402, Newport News, VA 23606-4425 | 2009-04-09 |
| 1992967046 | Ifeanyichukwu Jude Ani | Urology | 860 Omni Blvd, Ste 107, Newport News, VA 23606-4430 | 2008-06-30 |
| 1972706356 | David Hartke | Urology | 860 Omni Blvd, Suite 205, Newport News, VA 23606 | 2007-06-06 |
| 1235201427 | Erik Todd Grossgold | Urology | 11848 Rock Landing Dr Ste 402, Newport News, VA 23606-4425 | 2006-11-14 |
| 1235150970 | Riverside Physician Services Inc | Urology | 11848 Rock Landing Dr, Suite 402, Newport News, VA 23606-4425 | 2006-07-21 |
| 1740268853 | Henry Menton Prillaman | Urology | 11848 Rock Landing Dr, Suite 402, Newport News, VA 23606-4425 | 2006-01-09 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
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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.