EASTERN SHORE PHYSICIAN AND SURGEONS – NPI #1447556097
Internal Medicine

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.

EASTERN SHORE PHYSICIAN AND SURGEONS is a provider located in NASSAWADOX, VA. NPPES has assigned the NPI number 1447556097 to EASTERN SHORE PHYSICIAN AND SURGEONS on January 31, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EASTERN SHORE PHYSICIAN AND SURGEONS” is a dba name, the actual legal business name for this organization is RIVERSIDE PHYSICIAN SERVICES INC. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 15 years ago on Sep 27, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN SHORE PHYSICIAN AND SURGEONS below.

NPI Profile for
RIVERSIDE PHYSICIAN SERVICES INC

NPI Number
1447556097
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVERSIDE PHYSICIAN SERVICES INC
Doing Business As (dba): EASTERN SHORE PHYSICIAN AND SURGEONS
Primary location
9507 HOSPITAL AVE
3RD FLOOR
NASSAWADOX, VA 23413
Phone: (757) 414-8753 Fax:
Mailing address
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS, VA 23601-1318
Phone: (757) 594-4006 Fax: (757) 534-5190
Organization Subpart
Yes - EASTERN SHORE PHYSICIAN AND SURGEONS is subpart of another organization.
Authorized Official
JAMES LESNICK
VICE PRESIDENT
Phone: (757) 594-4006
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
VA 0101040816

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.