FIRST MED OF WILLIAMSBURG (NPI# 1669631560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669631560 |
| Entity Type | Organization |
| Organization Name | FIRST MED OF WILLIAMSBURG |
| Practice Address |
312 2nd St Williamsburg VA 23185-4528 |
| Practice Telephone | 7572294141 |
| Mailing Telephone | 7572294141 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | DR. RICHARD ANTHONY CAMPANA SR. (PRESIDENT) |
| Authorized Official Telephone | 7572294141 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
0101035546 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM PROVIDER NUMBER | 004203 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265616221 | First Med of Williamsburg | Family Medicine | 312 Second Street, Williamsburg, VA 23185 | 2007-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | FIRST MED OF WILLIAMSBURG INC. P.C. | 1177 Jamestown Road, Williamsburg, Virginia 23185 |
| Street Address |
312 2ND ST |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258033 | Richard Anthony Campana Sr. | Family Medicine | 312 2nd St, Williamsburg, VA 23185-4528 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
| 1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| Find all providers in zip 23185 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780855064 | James Paisley Moss | Family Medicine | 430 Main St, Williamsburg, KY 40769-1143 | 2008-03-14 |
| 1134103039 | Ricardo A Bassig | Family Medicine | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2005-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583283 | Michelle Lynn Pope | Family Medicine | 731 Seaton Ave Unit 120, Alexandria, VA 22305-3052 | 2020-09-19 |
| 1821604885 | Lindsay J Callahan | Family Medicine | 13900 Buck Rub Dr, Midlothian, VA 23112-6111 | 2020-09-16 |
| 1376199273 | Senle Care | Family Medicine | 6628 E Wakefield Dr Apt B1, Alexandria, VA 22307 | 2019-08-15 |
| 1861860231 | Ram Singh | Family Medicine | 5637 Powell Valley Rd, Big Stone Gap, VA 24219-4127 | 2015-09-02 |
| 1306257803 | Michelle A Clements | Family Medicine | 5415 Airport Rd, Roanoke, VA 24012-1303 | 2014-05-19 |
| 1538472824 | Monroe Glass Baldwin II | Family Medicine | 2058 Garfield Ave, Lynchburg, VA 24501-6417 | 2010-07-15 |
| 1750618674 | Rafael Angel Roure | Family Medicine | 1304 Glen Burnie Ct, Virginia Beach, VA 23454-6580 | 2009-11-13 |
| 1164676409 | Nasrin Ejtemaee Md PC | Family Medicine | 8375a Greensboro Dr, Mc Lean, VA 22102-3529 | 2008-11-13 |
| 1841459922 | Yeneisha Greene | Family Medicine | 4201 Wilson Boulevard, Arlington, VA 22230 | 2008-06-04 |
| 1801096458 | Richard Detwiler Alderfer | Family Medicine | 137 Nottingham Ln, Waynesboro, VA 22980-6544 | 2007-07-23 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
Please comment or provide details below to improve the information on FIRST MED OF WILLIAMSBURG.
| 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.