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RIVERSIDE HOSPITAL INC NPI 1225059991


NPI Information

NPI: 1225059991
Provider Name: RIVERSIDE HOSPITAL INC

Doing Business As: RIVERSIDE BRENTWOOD MEDICAL CENTER - OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
10510 JEFFERSON AVE
SUITE D
NEWPORT NEWS, VA
ZIP 23601
Phone: (757) 594-4720
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RIVERSIDE HOSPITAL INC is an obstetrics gynecology in Newport News, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. RIVERSIDE HOSPITAL INC NPI is 1225059991. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Brentwood Medical Center - Ob/gyn.

The provider's business location address is:

10510 JEFFERSON AVE
SUITE D
NEWPORT NEWS, VA
ZIP 23601-102
Phone: (757) 594-4720
Fax: (757) 594-4735

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 enumeration date for this NPI number is 7/21/2006 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
1207V00000XObstetrics & GynecologyYes

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
1C04082MEDICARE 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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