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RIVERSIDE PHYSICIAN SERVICES INC NPI 1194929026


NPI Information

NPI: 1194929026
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC

Doing Business As: RIVERSIDE GASTROENTEROLOGY SPECIALISTS

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 49D1073421

Address:
101 PHILIP ROTH ST
SUITE 5-A
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 599-6333
Get Directions

RIVERSIDE PHYSICIAN SERVICES INC is a gastroenterology internal medicine in Newport News, VA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1194929026. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Gastroenterology Specialists.

The provider's business location address is:

101 PHILIP ROTH ST
SUITE 5-A
NEWPORT NEWS, VA
ZIP 23606-393
Phone: (757) 599-6333
Fax: (757) 591-7261

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 49D1073421 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 10/15/2014.


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
1207RG0100XInternal MedicineGastroenterologyYes

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: 5/5/2024

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