RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1265458855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265458855 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | RIVERSIDE PARTNERS IN WOMEN'S HEALTH-WARWICK |
| Practice Address |
12200 Warwick Blvd Suite 510 Newport News VA 23601 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7575345700 |
| Practice Fax Number | 7575345730 |
| 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 INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Partners in Women's Health-Warwick | 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 |
12200 WARWICK BLVD SUITE 510 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601993 | Eric A Weiner | Internal Medicine | 12200 Warwick Blvd, Ste 290, Newport News, VA 23601-2548 | 2005-07-05 |
| 1477078541 | Nicole Cara Otten | Physician Assistant | 12200 Warwick Blvd, Newport News, VA 23601-2344 | 2017-08-09 |
| 1154860484 | Sandy N Bacallao | Nurse Practitioner | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2017-02-20 |
| 1669915716 | Alana Hutchens | Physician Assistant | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2016-11-22 |
| 1255881470 | Juliane Davis-lowther | Nurse Practitioner | 12200 Warwick Blvd, Suite 290, Newport News, VA 23601-2344 | 2016-10-12 |
| 1386193100 | Crystal Fesperman | Physician Assistant | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2016-09-22 |
| 1194125120 | Jordan Richard Pothast | Physician Assistant | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2014-08-27 |
| 1558781807 | Brian Andrew Holloway | Dermatology | 12200 Warwick Blvd, Suite 490a, Newport News, VA 23601-2344 | 2014-04-24 |
| 1346660982 | Amy Schendel | Orthopaedic Surgery | 12200 Warwick Blvd, Suite 480, Newport News, VA 23601-2344 | 2014-04-22 |
| 1881027209 | Riverside Physcian Services Inc | Internal Medicine | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2013-08-21 |
| Find all providers in the same location | ||||
| 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 Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376071951 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 11747 Jefferson Ave Ste 1a, Newport News, VA 23606-4401 | 2017-05-26 |
| 1114939980 | Kathy Edwina O'connell | Obstetrics & Gynecology | 11842 Rock Landing Dr Ste 115, Newport News, VA 23606-4437 | 2006-08-12 |
| 1679599120 | Riverside Physician Services Inc | Obstetrics & Gynecology | 608 Denbigh Blvd, Suite 701, Newport News, VA 23608-4413 | 2006-07-15 |
| 1154385706 | Lisa Ann Casanova | Obstetrics & Gynecology | 401 Oyster Point Rd, Suite A, Newport News, VA 23602-6926 | 2006-04-12 |
| 1447236906 | Stuart H Shippey IIi | Obstetrics & Gynecology | 10510 Jefferson Ave Ste D, Newport News, VA 23601-3102 | 2005-12-16 |
| 1871584631 | Katherine Leigh Hilsinger | Obstetrics & Gynecology | 12706 Mcmanus Blvd, Newport News, VA 23602-4460 | 2005-11-02 |
| 1609877562 | Michael Dee Mcmullin | Obstetrics & Gynecology | 10510 Jefferson Ave, Newport News, VA 23601-3102 | 2005-08-02 |
| 1861854689 | Branden Deyerle | Obstetrics & Gynecology | 12706 Mcmanus Blvd, Newport News, VA 23602-4460 | 2016-03-22 |
| 1912319054 | Priya Raju | Obstetrics & Gynecology | 10510 Jefferson Ave, Suite D, Newport News, VA 23601-3102 | 2014-05-23 |
| 1669811667 | Michel El Alam | Obstetrics & Gynecology | 10510 Jefferson Ave Ste D, Newport News, VA 23601-3102 | 2013-06-24 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
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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.