RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1215953872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215953872 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | EAGLE HARBOR PRIMARY CARE |
| Practice Address |
13478 Carrollton Blvd Unit D&e Carrollton VA 23314-3208 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7572387043 |
| Practice Fax Number | 7572387052 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-10-15 |
| 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 |
|---|---|
| Eagle Harbor Primary Care | 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 |
13478 CARROLLTON BLVD UNIT D&E |
| City | CARROLLTON |
| State | VA |
| Zip Code | 23314-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750344891 | Amy Elizabeth Balka | Family Medicine | 13478 Carrollton Blvd, Unit D & E, Carrollton, VA 23314-3208 | 2006-04-10 |
| 1952745275 | Michelle Reid Frickanisce | Nurse Practitioner | 13478 Carrollton Blvd, Units D & E, Carrollton, VA 23314-3208 | 2013-04-18 |
| 1982809943 | Daniel Charles Toland IIi | Chiropractor | 13478 Carrollton Blvd, Suite 0, Carrollton, VA 23314-3208 | 2007-06-19 |
| 1336179134 | Lisa Marie Knust | Family Medicine | 13478 Carrollton Blvd, Units D & E, Carrollton, VA 23314-3206 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257749 | Humanity Home Health LLC | Home Health | 15046 Carrollton Blvd., Ste G, Carrollton, VA 23314 | 2019-04-17 |
| 1629585674 | Cuadro Home Care Incorporated | Respite Care | 14192 Chapmans Ln, Carrollton, VA 23314 | 2017-12-29 |
| 1801325394 | Crystal Hunt | Specialist/Technologist | 13177 Lake Pointe Dr, Carrollton, VA 23314 | 2017-06-08 |
| 1134193428 | Jesse Stephens Julian Jr. | Surgery | 506 Founders Pointe Trail, Carrollton, VA 23314 | 2006-02-14 |
| 1639582539 | Sarah Forsythe | Family Medicine | 20209 Sentara Way Ste 200, Carrollton, VA 23314 | 2014-06-09 |
| 1902834815 | Marcus James Miller | Respiratory Therapist, Certified | 304 Marshview Ct, Carrollton, VA 23314-2242 | 2006-06-29 |
| 1518290378 | Kimberly A Quinter | Physician Assistant | 16160 Quail Crescent Ln, Carrollton, VA 23314-2251 | 2009-09-11 |
| 1609259787 | Professional Home Health Care LLC | Home Health | 15207 Carrollton Blvd, Carrollton, VA 23314-2303 | 2015-07-07 |
| 1053375030 | Dva Renal Healthcare, Inc. | Clinic/Center | 15225 Carrollton Blvd, Carrollton, VA 23314-2303 | 2006-04-14 |
| 1831569425 | Professional Home Health Care LLC | Respite Care | 15207 Carrollton Blvd, Carrollton, VA 23314-2303 | 2015-09-25 |
| Find all providers in zip 23314 | ||||
| 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 |
|---|---|---|---|---|
| 1417428772 | Bowdon-mt Zion Primary Health Center Inc. | Family Medicine | 4248 Mount Zion Rd, Carrollton, GA 30117-7602 | 2018-12-16 |
| 1841761533 | Sewell Family Medicine and Urgent Care, P.C. | Family Medicine | 928 S Park St Ste H, Carrollton, GA 30117-4501 | 2018-12-06 |
| 1922515048 | Carrollton Primary Care Medicine Pllc | Family Medicine | 1809 Golden Trail Ct Ste 240, Carrollton, TX 75010-4667 | 2018-01-10 |
| 1598276610 | Healthpros Medical Center, Pllc | Family Medicine | 2548 Tarpley Rd, Carrollton, TX 75006-2328 | 2017-10-16 |
| 1912417858 | Akenjem Ebong Mba | Family Medicine | 1902 Country Club Dr Ste 160, Carrollton, TX 75006-5823 | 2017-10-05 |
| 1265783815 | Nirav A Patel | Family Medicine | 2761 E Trinity Mills Rd Ste 100, Carrollton, TX 75006-3507 | 2012-09-23 |
| 1275880163 | Lezlie Miller | Family Medicine | 3032 E Hebron Pkwy Ste 101, Carrollton, TX 75010-4465 | 2012-08-09 |
| 1265796049 | Carl R Fry | Family Medicine | 1020 Trump Rd Nw Ste 4, Carrollton, OH 44615-8423 | 2012-06-27 |
| 1679869317 | Harveer Singh Parmar | Family Medicine | 1212 N Josey Ln Ste 110, Carrollton, TX 75006-6103 | 2011-06-21 |
| 1215160197 | Jose P Parcon M D S C | Family Medicine | 727 9th St, Carrollton, IL 62016-1427 | 2009-08-26 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 23314 |
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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.