RIVERSIDE PHYSICIAN SERVICES INC NPI 1447556097

NPI Information

NPI: 1447556097
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC

Doing Business As: EASTERN SHORE PHYSICIAN AND SURGEONS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
9507 HOSPITAL AVE
3RD FLOOR
NASSAWADOX, VA
ZIP 23413
Phone: (757) 414-8753
Get Directions

RIVERSIDE PHYSICIAN SERVICES INC is a cardiovascular disease internal medicine in Nassawadox, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1447556097. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eastern Shore Physician And Surgeons.

The provider's business location address is:

9507 HOSPITAL AVE
3RD FLOOR
NASSAWADOX, VA
ZIP 23413
Phone: (757) 414-8753

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 1/31/2011 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	0101040816	VIRGINIA	Yes

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
1	C03953	MEDICARE PIN	VIRGINIA

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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