Riverside Physician Services Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Practice address

850 Enterprise Pkwy Ste 1300
Hampton, VA 23666-6251

Phone

(757) 534-5340

Fax

(757) 594-3456

NPI assigned

Jan 9, 2008

Last updated

Aug 12, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

RIVERSIDE PHYSICIAN SERVICES INCAs reported in NPPES

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

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Part of

Steven G Spellman MD

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1518142553",
    "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": "850 ENTERPRISE PKWY STE 1300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666251",
            "telephone_number": "757-534-5340",
            "fax_number": "757-594-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "enumeration_date": "2008-01-09",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "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": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Physician Services Inc (Riverside Gastroenterology Specialists)
• Riverside Physician Services Inc (Riverside Partners in Women's Health Hampton)
• Riverside Physician Services Inc (Riverside Behavioral Health Center)
• Riverside Physician Services Inc (Riverside Orthopedic Specialists)
• Riverside Physician Services Inc (Hampton Roads Neurology-Hampton)
• Riverside Physician Services Inc (Elizabeth Lakes Family Practice)
• Riverside Physician Services Inc (Hampton Roads Eye Associates)
• Riverside Physician Services Inc (RMCC-Mercury West)
• Riverside Physician Services, Inc (Cardiovascular Center of Hampton Roads)
• Riverside Physicians Services Inc (Magruder Primcary Care)

• Cardiovascular Disease Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.