Riverside Physician Services, Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

RIVERSIDE PHYSICIAN SERVICES, INC

Practice address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318

Phone

(757) 594-4006

Fax

(757) 534-5190

NPI assigned

Jul 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James E Lesnick

Title

Vice President

Phone

(757) 594-4006

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rector & Visitors of the University of Virginia

  dba UVA-Staunton Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Staunton, VA
  • NPI 1407212954

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1093736605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-534-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "LESNICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-594-4006"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Physician Services Inc (Riverside Tidewater Thoracic & Cardiovascular)
• Riverside Physician Services Inc (Riverside Radiation Onoclogy)
• Riverside Physician Services Inc (Riverside Inpatient Internal Medicine)
• Riverside Physician Services Inc (Hampton Roads Eye Associates)
• Riverside Physician Services Inc
• Riverside Physician Services, Inc (Riverside Cardiology Specialists-Newport News)
• Riverside Physician Services, Inc (Riverside Internal Medicine of Denbigh)
• Riverside Physician Services, Inc (Cardiovascular Center of Hampton Roads)
• Riverside Physician Services, Inc (Riverside Brentwood OB/GYN)
• Riverside Physician Services, Inc (Riverside Regional Anesthesiology)

• Urology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.