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RIVERSIDE PHYSICIAN SERVICES INC NPI 1487960134


NPI Information

NPI: 1487960134
Provider Name: RIVERSIDE PHYSICIAN SERVICES, INC

Doing Business As: RIVERSIDE EASTERN SHORE PHYSICIANS AND SURGEONS

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 49D2074440

Address:
9524 HOSPITAL AVE
NASSAWADOX, VA
ZIP 23413
Phone: (757) 442-6600
Get Directions

RIVERSIDE PHYSICIAN SERVICES, INC is an internal medicine in Nassawadox, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. RIVERSIDE PHYSICIAN SERVICES, INC NPI is 1487960134. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Eastern Shore Physicians And Surgeons.

The provider's business location address is:

9524 HOSPITAL AVE
NASSAWADOX, VA
ZIP 23413
Phone: (757) 442-6600
Fax: (757) 442-3839

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

The CLIA number assigned to this NPI record is 49D2074440 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2010 and was last updated on 9/27/2011.


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
1207Q00000XFamily MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
42084N0400XPsychiatry & NeurologyNeurologyNo
5213E00000XPodiatristVIRGINIANo
6207R00000XInternal MedicineYes

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
11081570060MEDICARE NSCVIRGINIA
2C03953MEDICARE 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: 4/28/2024

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