Riverside Physician Services Inc

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Doing business as

Riverside GYN/Oncology

Practice address

12100 Warwick Blvd
Suite 202
Newport News, VA 23601

Phone

(757) 594-4198

Fax

(757) 594-4152

NPI assigned

Jul 15, 2006

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 1

Addresses

Other names 1

• Riverside GYN/Oncology Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Part of

RPS Ta Rvrsde Tpphnck GRP

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1861418410",
    "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": "12100 WARWICK BLVD",
            "address_2": "SUITE 202",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23601",
            "telephone_number": "757-594-4198",
            "fax_number": "757-594-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-09-27",
        "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": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside GYN/Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Physician Services Inc (Warwick Primary Care)
• Riverside Physician Services Inc (Neuro-Interventiion Center)
• Riverside Physician Services Inc (Riverside Internal Medicine)
• Riverside Physician Services Inc (Commonwealth Family Practice)
• Riverside Physician Services Inc (Riverside Pain & Intervention Center)
• Riverside Physician Services Inc (Riverside RadioSurgery Center)
• 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)

• Gynecologic Oncology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Gynecologic Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.