RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1093767485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093767485 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | RIVERSIDE HAMPTON ROADS NEUROSURGICAL & SPINE SPECIALISTS |
| Practice Address |
12200 Warwick Blvd Suite 410 Newport News VA 23601 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7575345200 |
| Practice Fax Number | 7575345830 |
| Mailing Telephone | 7575944006 |
| Enumeration Date | 2006-05-16 |
| 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 | |
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| RIVERSIDE HAMPTON ROADS NEUROSURGICAL & SPINE 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 |
12200 WARWICK BLVD SUITE 410 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601993 | Eric A Weiner | Internal Medicine | 12200 Warwick Blvd, Ste 290, Newport News, VA 23601-2548 | 2005-07-05 |
| 1477078541 | Nicole Cara Otten | Physician Assistant | 12200 Warwick Blvd, Newport News, VA 23601-2344 | 2017-08-09 |
| 1154860484 | Sandy N Bacallao | Nurse Practitioner | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2017-02-20 |
| 1669915716 | Alana Hutchens | Physician Assistant | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2016-11-22 |
| 1255881470 | Juliane Davis-lowther | Nurse Practitioner | 12200 Warwick Blvd, Suite 290, Newport News, VA 23601-2344 | 2016-10-12 |
| 1386193100 | Crystal Fesperman | Physician Assistant | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2016-09-22 |
| 1194125120 | Jordan Richard Pothast | Physician Assistant | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2014-08-27 |
| 1558781807 | Brian Andrew Holloway | Dermatology | 12200 Warwick Blvd, Suite 490a, Newport News, VA 23601-2344 | 2014-04-24 |
| 1346660982 | Amy Schendel | Orthopaedic Surgery | 12200 Warwick Blvd, Suite 480, Newport News, VA 23601-2344 | 2014-04-22 |
| 1881027209 | Riverside Physcian Services Inc | Internal Medicine | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2013-08-21 |
| Find all providers in the same location | ||||
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619015104 | Mario J. Cardoso | Neurological Surgery | 12200 Warwick Blvd Ste 410, Newport News, VA 23601 | 2007-02-05 |
| 1073766150 | Brian Thomas Farrell | Neurological Surgery | 12200 Warwick Blvd, Suite 410, Newport News, VA 23601-2344 | 2008-11-03 |
| 1699928929 | Riverside Physician Services Inc | Neurological Surgery | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2008-10-30 |
| 1154528776 | Dean Borrisov Kostov | Neurological Surgery | 12200 Warwick Blvd, Suite 410, Newport News, VA 23601-2344 | 2007-06-28 |
| 1396784690 | Javier Amadeo | Neurological Surgery | 12200 Warwick Blvd, Ste 410, Newport News, VA 23601-2548 | 2006-06-05 |
| 1174593164 | Jackson Boland Salvant Jr. | Neurological Surgery | 12200 Warwick Blvd, Suite 410, Newport News, VA 23601-2344 | 2006-01-24 |
| 1508843053 | William H Mcallister Iv | Neurological Surgery | 12200 Warwick Blvd, Ste 410, Newport News, VA 23601-2548 | 2005-12-27 |
| 1750368205 | Matthew Y Chang | Neurological Surgery | 12200 Warwick Blvd, Ste 410, Newport News, VA 23601-2548 | 2005-12-27 |
| 1346227881 | Wallace Kirby Garner | Neurological Surgery | 12200 Warwick Blvd, Ste 410, Newport News, VA 23601-2548 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970414 | April Hala | Neurological Surgery | 401 Ashleigh Rd, Purcellville, VA 20132-3059 | 2020-01-04 |
| 1902368483 | Subach Spinal Solutions | Neurological Surgery | 1635 N George Mason Dr Ste 150, Arlington, VA 22205-3679 | 2019-04-03 |
| 1720438245 | Maged D. Fam | Neurological Surgery | Vcuhs Dept of Anesthesiology Residency, 980459, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-06-15 |
| 1568756328 | Venita Marie Simpson | Neurological Surgery | 750 John Paul Jones Circle, Norfolk, VA 23708 | 2011-06-08 |
| 1376833533 | Ameet Chitale | Neurological Surgery | 8081 Innovation Park Dr Ste 900, Fairfax, VA 22031-4867 | 2011-04-08 |
| 1578885034 | General Business Concerns, Inc. | Neurological Surgery | 1039 Mayberry Crossing Dr, Moneta, VA 24121-6413 | 2010-02-24 |
| 1730414749 | Min S Park | Neurological Surgery | 1300 Jefferson Park Ave Fl 3, Charlottesville, VA 22903-3363 | 2009-10-08 |
| 1356515738 | Richard David Murray | Neurological Surgery | 1625 N George Mason Dr Ste 445, Arlington, VA 22205-3684 | 2008-04-17 |
| 1700066842 | Elisa J Kucia | Neurological Surgery | 541 Sunset Ln Ste 305, Culpeper, VA 22701-3979 | 2007-11-06 |
| 1053507764 | Mohammed A Bhatti Md | Neurological Surgery | 18th & 7th Streets Park Ave, Norton, VA 24273 | 2007-09-18 |
| Find all providers with the same taxonomy | ||||
| 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.