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RIVERSIDE PHYSICIAN SERVICES INC NPI 1053656967


NPI Information

NPI: 1053656967
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC

Doing Business As: RIVERSIDE RHEUMATOLOGY SPECIALISTS

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 49D2168755

Address:
850 ENTERPRISE PKWY
SUITE 2000
HAMPTON, VA
ZIP 23666
Phone: (757) 534-6109
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RIVERSIDE PHYSICIAN SERVICES INC is a rheumatology internal medicine in Hampton, VA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1053656967. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Riverside Rheumatology Specialists.

The provider's business location address is:

850 ENTERPRISE PKWY
SUITE 2000
HAMPTON, VA
ZIP 23666-251
Phone: (757) 534-6109
Fax: (757) 534-6096

The provider's authorized official is James E Lesnick .
The authorized official title is Vice President and has the following contact phone number (757) 594-4006.

The CLIA number assigned to this NPI record is 49D2168755 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/4/2012 and was last updated on 10/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C03953MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.