Riverside Physician Services Inc

Organization Active NPI Gastroenterology Physician · Newport News, VA

NPI 1194929026 · NPPES record last updated Oct 15, 2014

Key facts

NPI
1194929026
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Practice address
101 Philip Roth St
Suite 5-a
Newport News, VA 23606-1393
Phone
(757) 599-6333
Fax
(757) 591-7261
NPI assigned
Jun 13, 2007
Organization subpart
Yes
Parent organization (as reported)
RIVERSIDE HEALTHCARE ASSOICATES

Authorized official

Name
James Lesnick, MD
Title
Vice President
Phone
(757) 594-4006

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 1,228

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,228

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040207000400 VA Part B Supplier - Clinic/Group Practice 5092608448 Receives reassigned benefits from 1,191 practitioners

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RG0100X Yes

Addresses

Primary practice location

101 Philip Roth St
Suite 5-a
Newport News, VA 23606-1393

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006

Other names

  • Riverside Gastroenterology Specialists Doing business as

Other providers in Newport News, VA

All providers in Newport News, VA · Gastroenterology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.