RIVERSIDE PHYSICIAN SERVICES INC NPI 1962599100

NPI Information

  • NPI: 1962599100
  • Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PATRIOT PRIMARY CARE
  • CLIA Number: 49D1059508
  • Address: 2855 DENBIGH BLVD
    GRAFTON, VA
    ZIP 23692
  • Phone: (757) 968-5700

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is a family medicine in Grafton, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1962599100. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Patriot Primary Care.

The provider's business location address is:

2855 DENBIGH BLVD
GRAFTON, VA
ZIP 23692-501
Phone: (757) 968-5700
Fax: (757) 968-5717

The provider's authorized official is James 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 49D1059508 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 9/28/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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