Active NPI
Riverside Physician Services Inc
Doing business as Riverside Tappahannock Women's Center
- Gynecology Physician
- Tappahannock, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- RIVERSIDE PHYSICIAN SERVICES INC
- Doing business as
- Riverside Tappahannock Women's Center
- Practice address
- 648 Hospital Road
Suite B-305
Tappahannock, VA 22560 - Phone
- (804) 443-6240
- Fax
- (804) 443-6244
- NPI assigned
- Jul 25, 2006
- Last updated
- Oct 15, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
648 Hospital Road
Suite B-305
Tappahannock, VA 22560
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006
Other names 1
- Riverside Tappahannock Women's Center
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
648 Hospital Rd
Ste B305
Tappahannock, VA 22560
Phone (804) 443-6240
659 Hospital Rd
Ste A203
Tappahannock, VA 22560
Phone (804) 443-6232
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecology Physician
- Tappahannock, VA
- NPI 1467403972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413331200000",
"number": "1245252253",
"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": "648 HOSPITAL ROAD",
"address_2": "SUITE B-305",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "22560",
"telephone_number": "804-443-6240",
"fax_number": "804-443-6244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIVERSIDE HEALTHCARE ASSOCIATES",
"enumeration_date": "2006-07-25",
"last_updated": "2014-10-15",
"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": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverside Tappahannock Women's Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tappahannock, VA
- Diogo Ribeiro de Sene, M.D.
- River Run Anesthesia LLC
- Riverside Emergency Physicians LLP
- Riverside Health Source LLC
- Riverside Health Source LLC
- Riverside Physician Services Inc.
- Riverside Tappahannock Hospital Inc (Riverside Tappahannock Hospital)
- Riverside Tappahannock Hospital Inc (Riverside Tappahannock Hospice)
- Riverside Tappahannock Hospital Inc (Riverside Tappahannock Hospital)
- Riverview Orthopaedics, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.