Active NPI
Riverside Physician Services Inc
Doing business as Riverside Hampton Roads Neurosurgical & Spine Specialists
- Neurological Surgery Physician
- Newport News, VA
National Provider Identifier
1093767485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- RIVERSIDE PHYSICIAN SERVICES INC
- Doing business as
- Riverside Hampton Roads Neurosurgical & Spine Specialists
- Practice address
- 12200 Warwick Blvd
Suite 410
Newport News, VA 23601 - Phone
- (757) 534-5200
- Fax
- (757) 534-5830
- NPI assigned
- May 16, 2006
- Last updated
- May 25, 2016
- Organization subpart
- Yes
- Parent organization
- RIVERSIDE HEALTHCARE ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Lesnick, MD
- Title
- Vice President
- Phone
- (757) 594-4006
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary | |
| Physical Medicine & Rehabilitation Physician | 208100000X | VA |
Addresses
Primary practice location
12200 Warwick Blvd
Suite 410
Newport News, VA 23601
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006
Other names 1
- RIVERSIDE HAMPTON ROADS NEUROSURGICAL & SPINE SPECIALISTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040207000400 | VA | Part B Supplier - Clinic/Group Practice | 5092608448 |
Receives reassigned benefits from 1,191 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba UVA Health Sciences Center
- Psychiatric Hospital Unit
- Charlottesville, VA
- NPI 1184731507
Member Of
Locations
12200 Warwick Blvd
Newport News, VA 23601
Phone (757) 534-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1093767485",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 WARWICK BLVD",
"address_2": "SUITE 410",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23601",
"telephone_number": "757-534-5200",
"fax_number": "757-534-5830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIVERSIDE HEALTHCARE ASSOCIATES",
"enumeration_date": "2006-05-16",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "LESNICK",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "757-594-4006",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RIVERSIDE HAMPTON ROADS NEUROSURGICAL & SPINE SPECIALISTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport News, VA
- Riverside Physician Services Inc (Bruton Avenue Family Practice)
- Riverside Physician Services Inc (Riverside Lifelong Health & Aging Services)
- Riverside Physician Services Inc (Riverside Partners in Women's Health Community Clinic)
- Riverside Physician Services Inc (Hampton Roads Eye Associates-Hidenwood)
- Riverside Physician Services Inc (Riverside Renal Specialists)
- Riverside Physician Services Inc (Riverside Neurology Specialists - ACL)
- Riverside Physician Services Inc (Drs Wetchler and Dineen)
- Riverside Physician Services Inc (Riverside Urogynecology Specialists Newport News)
- Riverside Physician Services Inc (Riverside Gastroenterology Specialists)
- Riverside Physician Services Inc (Peninsula Surgical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.