RIVERSIDE PHYSICIAN SERVICES, INC.


Address: 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318
Phone: 7575944006

RIVERSIDE PHYSICIAN SERVICES, INC. (NPI# 1710020623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710020623
Entity Type Organization
Organization Name RIVERSIDE PHYSICIAN SERVICES, INC.
Practice Address 856 J Clyde Morris Blvd
Suite A
Newport News
VA 23601-1318
Mailing Address Po Box 826608
Philadelphia
PA 19182-6608
Practice Telephone 7575944006
Practice Fax Number 7575345190
Mailing Telephone 7573165888
Mailing Fax Number 7545944005
Enumeration Date 2007-02-14
Last Update Date 2017-02-20
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 INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology VA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine VA Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology VA Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery VA Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
VA Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology VA Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation VA Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
VA Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
VA Allopathic & Osteopathic Physicians
N 208600000X Surgery VA Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
VA Allopathic & Osteopathic Physicians
N 208800000X Urology VA Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) VA Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist VA Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine VA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487771655 Riverside Physician Services, Inc. Clinic/Center 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2007-03-23
1811918444 Riverside Physician Services, Inc. Urology 7552 Hospital Drive, Suite 302, Gloucester, VA 23061 2006-07-21
1720004294 Riverside Physician Services, Inc. Obstetrics & Gynecology 401 Oyster Point Rd, Suite A, Newport News, VA 23602-6926 2006-07-15

Office Location

Street Address 856 J CLYDE MORRIS BLVD
SUITE A
City NEWPORT NEWS
State VA
Zip Code 23601-1318

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801891023 Riverside Hospital Inc Home Health 856 J Clyde Morris Blvd, Ste C, Newport News, VA 23601-1318 2005-06-15
1720471147 Eunice Theodor Nurse Practitioner 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 2015-03-10
1861686834 David Russell Williams Family Medicine 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 2007-08-31
1043353956 Riverside Hospital Inc. Obstetrics & Gynecology 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 2007-02-14
1093736605 Riverside Physician Services, Inc Internal Medicine 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 2006-07-21
1124046719 Riverside Physician Services Inc Obstetrics & Gynecology 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 2006-07-18
1235134123 Riverside Tappahannock Hospital Inc Home Health 856 J Clyde Morris Blvd, Suite C, Newport News, VA 23601-1318 2005-06-16

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730651282 Asia Denise Gordon Family Medicine 12715 Warwick Blvd # M&o, Newport News, VA 23606 2018-12-21
1962858944 Helen G Arnold Family Medicine 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 2016-05-10
1285071233 Kevin Paul Wolf Family Medicine 12420 Warwick Blvd Bldg 3, Riverside Internal Medicine, Newport News, VA 23606-3001 2013-05-31
1558596031 Tam Xuan Tran Family Medicine 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 2009-05-27
1912166562 Rudolph Joseph Naurath Family Medicine 21 Beverly Hills Dr, Newport News, VA 23606-2157 2008-06-07
1861650806 Ricardo J Guardia Family Medicine 206 Cameron Dr, Newport News, VA 23606-1431 2008-05-27
1396941852 Darany Khun Toy Family Medicine 12695 Mcmanus Blvd Bldg 6, Newport News, VA 23602-4435 2007-06-22
1437351889 Rabbiya Nasir Abidi Family Medicine 500 J Clyde Morris Boulevard, Riverside Regional Medical Center, Newport News, VA 23601 2007-06-05
1548475775 Daniel Lee Medical Group PC Family Medicine 716 Denbigh Blvd Suite C3, Newport News, VA 23608-4414 2007-05-11
1275751166 Sinclair B. Mccracken, Md, PC Family Medicine 704 Thimble Shoals Blvd Ste 600a, Newport News, VA 23606-4558 2007-04-23
Find all providers in NEWPORT NEWS

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City NEWPORT NEWS
Zip Code 23601

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Dataset Information

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.

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