RIVERSIDE PHYSCIAN SERVICES INC (NPI# 1881027209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881027209 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSCIAN SERVICES INC |
| Other Organization Name | RIVERSIDE ORTHOPEDICS, SPORTS MEDICINCE & PHYSIATRY |
| Practice Address |
12200 Warwick Blvd Suite 310 Newport News VA 23601-2344 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7575349988 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | JAMES LESNICK (VICE PRESIDENT) |
| Authorized Official Telephone | 7575944006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE HEALTH ASSOCIATION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Orthopedics, Sports Medicince & Physiatry | Doing Business As Name - Organization |
| Street Address |
12200 WARWICK BLVD SUITE 310 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-2344 |
| 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 |
| 1386908358 | John Russell Barley Iv | Family Medicine | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2012-06-25 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801957378 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Orthopaedic Surgery | 250 Nat Turner Blvd, Newport News, VA 23606 | 2006-12-12 |
| 1093789430 | Joel D. Stewart | Orthopaedic Surgery | 250 Nat Turner Blvd S, Newport News, VA 23606 | 2006-02-14 |
| 1013438779 | Zachary Tan | Orthopaedic Surgery | 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 | 2017-07-03 |
| 1306288816 | Shane Matthew Mcgowan | Orthopaedic Surgery | 860 Omni Blvd Ste 113, Newport News, VA 23606-4430 | 2013-07-25 |
| 1669735668 | Paul B Mclendon | Orthopaedic Surgery | 12200 Warwick Blvd Ste 310, Newport News, VA 23601 | 2012-06-25 |
| 1649412990 | Jacob Lantry | Orthopaedic Surgery | 12200 Warwick Blvd, Suite 480, Newport News, VA 23601-2344 | 2009-04-01 |
| 1356582415 | Newport News Shipbuilding, A Division of Huntington Ingalls Industries | Orthopaedic Surgery | 4101 Washington Ave, Dept. 028, Bldg. 15, Newport News, VA 23607-2734 | 2009-03-18 |
| 1881840569 | Stephen H Cummings | Orthopaedic Surgery | 860 Omni Blvd, Ste 113, Newport News, VA 23606-4434 | 2008-08-13 |
| 1477715456 | Scott Richard Kling | Orthopaedic Surgery | 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 2008-06-30 |
| 1316139256 | John David Burrow | Orthopaedic Surgery | 250 Nat Turner Blvd S, Newport News, VA 23606-3074 | 2007-08-14 |
| 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.