RIVERSIDE PHYSICIAN SERVICES, INC (NPI# 1407001456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407001456 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES, INC |
| Other Organization Name | CARDIOVASCULAR CENTER OF HAMPTON ROADS |
| Practice Address |
12720 Mcmanus Blvd Ste 307 Newport News VA 23602-4414 |
| Mailing Address |
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 |
| Practice Telephone | 7578720186 |
| Practice Fax Number | 7578720187 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2011-09-27 |
| Authorized Official Name | JAMES LESNICK (VICE PRESIDENT) |
| Authorized Official Telephone | 7575944006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE PHYSICIAN SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiovascular Center of Hampton Roads | Doing Business As Name - Organization |
| 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 |
12720 MCMANUS BLVD STE 307 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346270329 | Mary Immaculate Ambulatory Surgery Center LLC | Clinic/Center | 12720 Mcmanus Blvd, Ste 103, Newport News, VA 23602-4441 | 2006-07-04 |
| 1194267229 | Mary Immaculate Hospital | Obstetrics & Gynecology | 12720 Mcmanus Blvd, Suite 301, Newport News, VA 23602-4414 | 2016-11-07 |
| 1689047979 | Mary Immaculate Hospital | Surgery | 12720 Mcmanus Blvd, Suite 203, Newport News, VA 23602-4414 | 2015-11-09 |
| 1174921365 | Lindsay Nicole Manzlak | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 308, Newport News, VA 23602-4414 | 2014-12-21 |
| 1265844880 | Susan Elizabeth Ferrandino | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 303, Newport News, VA 23602-4414 | 2014-06-02 |
| 1164767968 | Monika R Brown | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 308, Newport News, VA 23602-4414 | 2012-12-05 |
| 1356625073 | Mary Immaculate Hospital | Internal Medicine | 12720 Mcmanus Blvd, Suite 303, Newport News, VA 23602-4414 | 2011-09-29 |
| 1578860607 | Philip C Alexander | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 313, Newport News, VA 23602-4414 | 2011-02-25 |
| 1003130394 | Mary Immaculate Hospital | Internal Medicine | 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 | 2010-03-16 |
| 1326379769 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 12720 Mcmanus Blvd, Suite 313, Newport News, VA 23602-4414 | 2010-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1508028937 | Mrugesh Indubhai Soni | Internal Medicine | 12720 Mcmanus Blvd Ste 201, Newport News, VA 23602-4486 | 2008-06-26 |
| 1669565636 | Gerard Abate | Internal Medicine | 33 Pear Ave, Newport News, VA 23607-6011 | 2006-10-02 |
| 1811974207 | Andrew Mark Rashkow | Internal Medicine | 500 J Clyde Morris Blvd Fl Annex1, Newport News, VA 23601 | 2005-12-27 |
| 1962831149 | Fnu Vikram | Internal Medicine | 500 J Clyde Morris Blvd Fl Annex1, Newport News, VA 23601 | 2013-11-07 |
| 1942636014 | Stgeorge Tucker Lee | Internal Medicine | 718 J Clyde Morris Blvd, Newport News, VA 23601-1540 | 2013-09-20 |
| 1003130394 | Mary Immaculate Hospital | Internal Medicine | 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 | 2010-03-16 |
| 1639324890 | Riverside Physician Services, Inc | Internal Medicine | 500 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1929 | 2008-12-01 |
| 1801008420 | Anthony Paul Lombardo | Internal Medicine | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2007-05-04 |
| 1467580472 | Peninsula Williamsburg Cardiology Assoc | Internal Medicine | 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 | 2007-03-01 |
| 1407998420 | Allen Bryant Nichols | Internal Medicine | 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 | 2007-02-13 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
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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.