RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1134147788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134147788 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | CALLAO MEDICAL ARTS |
| Practice Address |
17452 Richmond Road Callao VA 22435 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 8045296141 |
| Practice Fax Number | 8045296916 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2006-07-18 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Callao Medical Arts | 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 |
17452 RICHMOND ROAD |
| City | CALLAO |
| State | VA |
| Zip Code | 22435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982669081 | Michael P. Chatterson | Family Medicine | 17452 Richmond Road, Callao, VA 22435 | 2006-04-20 |
| 1144467390 | Linda Kay Mitchell | Nurse Practitioner | 17452 Richmond Road, Callao, VA 22435 | 2009-01-09 |
| 1891824041 | Donna Lynn Lamarque-ambrose | Family Medicine | 17452 Richmond Road, Callao, VA 22435 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964072 | Rosalia Estrada | Dentist | 15075 Blvd Industrial, Tijuana, BAJA CALIFORNIA 22435 | 2019-04-05 |
| 1669955019 | Raven Custalow | Nurse Practitioner | 17452 Richmond Rd, Callao, VA 22435 | 2018-09-12 |
| 1437640919 | Stephanie Lopez | Dentist | Ave Jose Portillo #1460 Ste 3a, Tijuana, BAJA CALIFORNIA 22435 | 2018-05-21 |
| 1215430178 | Alejandro Zavala | Dentist | Ave Bellas Artes #316, Tijuana, BAJA CALIFORNIA 22435 | 2018-03-16 |
| 1629518576 | Manuel Lopez Garibay | Dentist | Blvd Bellas Artes #341, Ste 1 Otay, Tijuana, BAJA CALIFORNIA 22435 | 2017-02-26 |
| 1205284650 | Ana Lilia Chavez Espinoza | Dentist | Bellas Artes #19213-local Ll, Col. Nueva Tijuana, Tijuana, BAJA CALIFORNIA 22435 | 2016-05-26 |
| 1134593288 | Marcelo Manuel Lopez Hernandez | Dentist | Blvd. Bellas Artes #341-1, Colonia Nueva Tijuana, Tijuana, CA 22435 | 2015-11-30 |
| 1518083930 | Beverly J Thomas | Pharmacist | 17422 Richmond Rd, Callao, VA 22435 | 2007-03-21 |
| 1053834812 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 17422 Richmond Rd, Po Box 1059, Callao, VA 22435 | 2017-07-24 |
| 1962941278 | Kingdomnaires Personal Transport Services, LLC | Non-emergency Medical Transport (VAN) | 1836 Hampton Hall Rd, Callao, VA 22435 | 2017-02-20 |
| Find all providers in zip 22435 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982669081 | Michael P. Chatterson | Family Medicine | 17452 Richmond Road, Callao, VA 22435 | 2006-04-20 |
| 1891824041 | Donna Lynn Lamarque-ambrose | Family Medicine | 17452 Richmond Road, Callao, VA 22435 | 2007-03-05 |
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|---|---|---|---|---|
| 1497356554 | Sarah Keaton | Family Medicine | 380 Maple Rd, Callands, VA 24530-2538 | 2020-11-05 |
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| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1811509599 | Crystal Dawn Lowder-tibbs | Family Medicine | 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | 2020-08-23 |
| 1578173837 | Ohio Valley Physicians Inc | Family Medicine | 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | 2020-08-03 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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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.