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RIVERSIDE PHYSICIAN SERVICES INC NPI 1053339010


NPI Information

NPI: 1053339010
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC

Doing Business As: RIVERSIDE WARSAW MEDICAL ARTS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
16 DELFAE DR
WARSAW, VA
ZIP 22572
Phone: (804) 333-1260
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RIVERSIDE PHYSICIAN SERVICES INC is a family medicine in Warsaw, 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 1053339010. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Riverside Warsaw Medical Arts.

The provider's business location address is:

16 DELFAE DR
WARSAW, VA
ZIP 22572-281
Phone: (804) 333-1260
Fax: (804) 333-3796

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 7/18/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2207Q00000XFamily 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
21081570037MEDICARE NSCVIRGINIA

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: 5/5/2024

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