Riverside Physician Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Doing business as

Riverside Shore Medical Center - Metompkin

Practice address

17385 Lankford Hwy
Parksley, VA 23421-3882

Phone

(757) 665-7229

Fax

(757) 665-7396

NPI assigned

Jan 4, 2012

Last updated

Jan 4, 2012By 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

Other names 1

• Riverside Shore Medical Center - Metompkin Doing business as

Part of

Riverside OB-GYN

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1942570247",
    "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": "17385 LANKFORD HWY",
            "city": "PARKSLEY",
            "state": "VA",
            "postal_code": "234213882",
            "telephone_number": "757-665-7229",
            "fax_number": "757-665-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Shore Medical Center - Metompkin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Parker
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• Amy Nicole Porter, RN CWS
• Virginia Ravizza, LPC
• Dayl Reid-Roberts, LPD
• Charis Louise Robinette
• Alicia Nicole Rose, CNS, NP
• Runningers Pharmacy Inc
• Maudene Sherman, LCSW
• Shore Health Services, Inc (Riverside Shore Medical Center at Metompkin)

• Family Medicine Physician in Parksley, VA
• Providers in Parksley, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.