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RIVERSIDE PHYSICIAN SERVICES INC NPI 1790049252


NPI Information

NPI: 1790049252
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC

Doing Business As: RIVERSIDE NORTHERN NECK BONE AND JOINT CENTER

Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
300 MT CLEMENT PARK
SUITE B
TAPPAHANNOCK, VA
ZIP 22560
Phone: (804) 443-8670
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RIVERSIDE PHYSICIAN SERVICES INC is an adult reconstructive orthopaedic surgery orthopaedic surgery in Tappahannock, VA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1790049252. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Northern Neck Bone And Joint Center.

The provider's business location address is:

300 MT CLEMENT PARK
SUITE B
TAPPAHANNOCK, VA
ZIP 22560-098
Phone: (804) 443-8670
Fax: (804) 443-8675

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 6/29/2012 and was last updated on 8/27/2012.


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
1207X00000XOrthopaedic Surgery0101248828VIRGINIANo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery0101248828VIRGINIAYes

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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