# RIVERSIDE PHYSICIAN SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERSIDE PHYSICIAN SERVICES INC
- **Other names:** Riverside Gloucester Nursing Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053339614
- **Legal business name:** RIVERSIDE PHYSICIAN SERVICES INC
- **Authorized official:** JAMES LESNICK MD (VICE PRESIDENT)
- **Authorized official phone:** (757) 549-4006

## Contact information

- **Practice address:** 672 GLOUCESTER ROAD, SALUDA, VA 23149
- **Practice address phone:** (804) 758-2363
- **Practice address fax:** (804) 758-3857
- **Mailing address:** 856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
- **Mailing address phone:** (757) 594-4006
- **Mailing address fax:** (757) 534-5190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 10/15/2011