RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1639418429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639418429 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | RIVERSIDE EMERGENCY PHYSICIANS |
| Practice Address |
1500 Commonwealth Ave Williamsburg VA 23185-5229 |
| Mailing Address |
Po Box 75774 Baltimore MD 21275-5774 |
| Practice Telephone | 7575852000 |
| Mailing Telephone | 8668987012 |
| Mailing Fax Number | 9048051037 |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2014-09-24 |
| Authorized Official Name | JAMES LESNICK (VICE PRESIDENT) |
| Authorized Official Telephone | 7575944006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE HEALTHCARE ASSOCIATION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Emergency Physicians | 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 |
1500 COMMONWEALTH AVE |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640090 | George Tilton Heath | Anesthesiology | 1500 Commonwealth Ave, Williamsburg, VA 23185 | 2005-09-20 |
| 1275062200 | Kazi Imran Kabir | Emergency Medicine | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2017-06-04 |
| 1306374020 | Louis Wenell Varella II | Hospitalist | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2017-05-24 |
| 1316394984 | Charlotte M Phillips | Registered Nurse | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2016-05-24 |
| 1255779435 | Riverside Physician Services Inc | Hospitalist | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2013-06-10 |
| 1255610424 | Sridhar Reddy Chitti | Internal Medicine | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2011-08-05 |
| 1659667681 | Kristen White | Physician Assistant | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2011-06-28 |
| 1588954838 | Michael Brian Reynolds | Family Medicine | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2011-04-07 |
| 1285846568 | Leila Katherine Mufdi | Emergency Medicine | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2007-05-07 |
| 1437168507 | Amy Ann Americo | Hospitalist | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2006-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
| 1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| Find all providers in zip 23185 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750322004 | Douglas A Brown | Emergency Medicine | 5000 New Point Rd Ste 3201, Williamsburg, VA 23188-9423 | 2006-06-09 |
| 1871531889 | Ruhul Ahmed Choudhury | Emergency Medicine | 3080 N Highway 25 W, Williamsburg, KY 40769-8602 | 2006-06-02 |
| 1700859766 | Michael E. Renforth | Emergency Medicine | 120 Monticello Ave, Michumi, Pllc., Dba Md Express of Williamsburg Va, Williamsburg, VA 23185-2840 | 2006-02-09 |
| 1619940681 | Chan S. Park | Emergency Medicine | Michumi, Pllc Dba Med Express of Williamsburg, Va, 120 Monticello Ave, Williamsburg, VA 23185 | 2006-02-09 |
| 1487653291 | Richard A Schmitt | Emergency Medicine | 100 Sentara Cir, Williamsburg, VA 23188-5713 | 2005-07-14 |
| 1245237924 | Gregory P Neyman | Emergency Medicine | 498 N Highland St, Williamsburg, IA 52361-9695 | 2005-07-07 |
| 1275062200 | Kazi Imran Kabir | Emergency Medicine | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2017-06-04 |
| 1356731897 | Tsegaye Daniel Gebregiorgis | Emergency Medicine | 100 Sentara Cir Rm 2c, Williamsburg, VA 23188-5713 | 2015-02-04 |
| 1225398936 | L&e Medical Associates LLC | Emergency Medicine | 400 Sentara Cir, Williamsburg, VA 23188-5716 | 2012-05-29 |
| 1942585310 | Williamsburg Emergency Physicians | Emergency Medicine | 400 Sentara Cir, Williamsburg, VA 23188-5716 | 2011-10-18 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
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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.