Riverside Physician Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Practice address

2855 Denbigh Blvd
Grafton, VA 23692-6501

Phone

(757) 968-5700

Fax

(757) 968-5717

NPI assigned

Oct 9, 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

• Patriot Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

RPS Ta Rvrsde Tpphnck GRP

Locations

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1962599100",
    "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": "2855 DENBIGH BLVD",
            "city": "GRAFTON",
            "state": "VA",
            "postal_code": "236926501",
            "telephone_number": "757-968-5700",
            "fax_number": "757-968-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "enumeration_date": "2006-10-09",
        "last_updated": "2011-09-28",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marybeth Morgan, PHYSICIAN ASSISTANT
• Felicia Nguyen, PHARMD
• Robert Plemmons Jr., RPH
• Rite Aid of Virginia Inc
• Riverside Physcian Services Inc
• Glenn D Shean, LCP
• Vanessa Sherlock, COTA/L
• Lois W Shields, NP
• William Jennings Shields, MD
• Yulia N Small, PHARMD

• Family Medicine Physician in Grafton, VA
• Providers in Grafton, 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 Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.