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RIVERSIDE PHYSICIAN SERVICES INC NPI 1861418410


NPI Information

NPI: 1861418410
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC

Doing Business As: RIVERSIDE GYN/ONCOLOGY

Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

CLIA Number: 49D2072677

Address:
12100 WARWICK BLVD
SUITE 202
NEWPORT NEWS, VA
ZIP 23601
Phone: (757) 594-4198
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RIVERSIDE PHYSICIAN SERVICES INC is a gynecologic oncology obstetrics gynecology in Newport News, VA. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1861418410. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Riverside Gyn/oncology.

The provider's business location address is:

12100 WARWICK BLVD
SUITE 202
NEWPORT NEWS, VA
ZIP 23601
Phone: (757) 594-4198
Fax: (757) 594-4152

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 49D2072677 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2006 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
1207VX0201XObstetrics & GynecologyGynecologic OncologyYes

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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