RICHARD J HARTLE (NPI# 1376556050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376556050 |
| Entity Type | Individual |
| Full Name | RICHARD J HARTLE |
| Credential | MD |
| Practice Address |
5424 Discovery Park Blvd Suite 104 Williamsburg VA 23188-2862 |
| Mailing Address |
860 Omni Blvd Suite 303 Newport News VA 23606-4430 |
| Practice Telephone | 7572061190 |
| Practice Fax Number | 7572080601 |
| Mailing Telephone | 7572328769 |
| Mailing Fax Number | 7572328875 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2019-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101049148 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHCS | 541659020 | 01 | |
| OPTIMA | 55883 | 01 | |
| VHN | 541659020 | 01 | |
| UHC | 541659020 | 01 | |
| MAILHANDLERS | 859001 | 01 | |
| CIGNA | 541659020 | 01 | |
| ANTHEM | 097290 | 01 | |
| MC RAILROAD | 110075685 | 01 | |
| AETNA | 4299917 | 01 |
| Street Address |
5424 DISCOVERY PARK BLVD SUITE 104 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813765 | Richard A Parisi | Internal Medicine | 5424 Discovery Park Blvd, 204, Williamsburg, VA 23188 | 2005-09-29 |
| 1881166312 | John Davis Ireland | Physician Assistant | 5424 Discovery Park Blvd, Williamsburg, VA 23188 | 2018-12-21 |
| 1093050692 | Liza M Buckingham | Audiologist | 5424 Discovery Park Blvd, Suite 201, Williamsburg, VA 23188-2904 | 2012-12-07 |
| 1851644165 | Michelle J Clark | Physical Therapist | 5424 Discovery Park Blvd, Suite 101, Williamsburg, VA 23188-2904 | 2012-10-24 |
| 1710255013 | Ellen O Winthrop | Physical Therapist | 5424 Discovery Park Blvd, Suite 101, Williamsburg, VA 23188-2904 | 2011-12-01 |
| 1376838433 | Amanda Mary Jetty | Physical Therapist | 5424 Discovery Park Blvd, Bldg. B /ste. 101, Williamsburg, VA 23188 | 2011-06-16 |
| 1912227471 | Joseph Reza Habibi | Urology | 5424 Discovery Park Blvd, Suite 203, Williamsburg, VA 23188-2904 | 2010-06-08 |
| 1851530851 | Tidewater Physicians Multispecialty Group | Durable Medical Equipment & Medical Supplies | 5424 Discovery Park Blvd, Suite 204, Williamsburg, VA 23188-2862 | 2009-02-13 |
| 1356501068 | Matthew T. Doherty | Radiology | 5424 Discovery Park Blvd, Williamsburg, VA 23188 | 2008-06-16 |
| 1740451251 | Thomas Durbin | Orthopaedic Surgery | 5424 Discovery Park Blvd, Suite 204, Williamsburg, VA 23188-2904 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669485330 | Joseph Oliver Converse | Internal Medicine | 457 Mclaws Circle, Suite 1, Williamsburg, VA 23185 | 2006-08-14 |
| 1992752521 | Gastrointestinal & Liver Specialist of Tidewater Pllc | Internal Medicine | 400 Sentara Cir Ste 103, Williamsburg, VA 23188-5716 | 2006-05-28 |
| 1386619393 | John D Long | Internal Medicine | 457 Mclaws Cir, Williamsburg, VA 23185-5645 | 2006-02-22 |
| 1811211394 | Digestive Disease Center of Virginia, PC | Internal Medicine | 4125 Ironbound Rd, Suite 201, Williamsburg, VA 23188-2666 | 2010-03-26 |
| 1083867311 | Riverside Physician Services Inc | Internal Medicine | 120 Kings Way, Suite 3200 & 3300, Williamsburg, VA 23185-2505 | 2008-10-30 |
| 1043358328 | Williamsburg Gastroenterology, PC | Internal Medicine | 457 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5645 | 2007-02-01 |
| 1215975370 | Shahwali Arezo | Internal Medicine | 457 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5645 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338745 | Gastrointestinal and Liver Specialists of Tidewater Pllc | Internal Medicine | 1101 First Colonial Rd Ste 400, Virginia Beach, VA 23454-2409 | 2019-10-23 |
| 1811544240 | Zhenxia Na Shuai | Internal Medicine | 44055 Riverside Pkwy Ste 220, Leesburg, VA 20176-5177 | 2019-08-21 |
| 1932763786 | Stonesprings Gastroenterology Pllc | Internal Medicine | 24430 Stone Springs Blvd Ste 200, Dulles, VA 20166-2267 | 2019-04-26 |
| 1013439835 | Maryview Hospital | Internal Medicine | 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602-4414 | 2017-07-13 |
| 1851741912 | Alkimawi Medical Incorporated | Internal Medicine | 4209 Dale Blvd, Woodbridge, VA 22193-2243 | 2016-06-20 |
| 1750739009 | Omer Shahab | Internal Medicine | Vcuhs Dept of Medicine Gastroenterology 980257, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-05-27 |
| 1962842583 | Patty Tian Wang | Internal Medicine | 1717 Will O'wisp Drive, Suite 200, Virginia Beach, VA 23454 | 2013-06-27 |
| 1578858155 | Mohammad Shadab Siddiqui | Internal Medicine | 1200 E. Broad Street, West Hospital, 14th Floor, Richmond, VA 23298 | 2011-06-13 |
| 1154637056 | Mohammed Albugeaey | Internal Medicine | 190 Campus Blvd Ste 300, Winchester, VA 22601-2872 | 2010-08-30 |
| 1326350570 | Ben Persons Bradenham Jr. | Internal Medicine | 7611 Forest Ave Ste 410, Richmond, VA 23229-4946 | 2010-07-03 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.