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RIVERSIDE PHYSICIAN SERVICES INC NPI 1114170446


NPI Information

NPI: 1114170446
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC

Doing Business As: RIVERSIDE NEUROLOGY AND SLEEP SPECIALISTS

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
7547 MEDIAL DRIVE
SUITE 1300
GLOUCESTER, VA
ZIP 23061
Phone: (804) 695-8550
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RIVERSIDE PHYSICIAN SERVICES INC is a neurology psychiatry neurology in Gloucester, VA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1114170446. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Neurology And Sleep Specialists.

The provider's business location address is:

7547 MEDIAL DRIVE
SUITE 1300
GLOUCESTER, VA
ZIP 23061
Phone: (804) 695-8550
Fax: (804) 695-8551

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

The enumeration date for this NPI number is 10/30/2008 and was last updated on 10/14/2014.


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
12084S0012XPsychiatry & NeurologySleep MedicineVIRGINIANo
22084N0400XPsychiatry & NeurologyNeurologyVIRGINIAYes

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

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