WILLIAMSBURG NEUROLOGY, P.C. (NPI# 1831196872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831196872 |
| Entity Type | Organization |
| Organization Name | WILLIAMSBURG NEUROLOGY, P.C. |
| Practice Address |
120 Kings Way Suite 2700 Williamsburg VA 23185-2505 |
| Practice Telephone | 7572210110 |
| Practice Fax Number | 7572210851 |
| Mailing Telephone | 7572210110 |
| Mailing Fax Number | 7572210851 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SHAWN M. BRAINARD (MEDICAL PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7573453907 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101048000 | VA | Other Service Providers |
| Y | 174400000X | Specialist | 0101052740 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | HARDING-ANTHEM BCBS | 322877 | 01 |
| VA | SOUEIDAN-ANTHEM BCBS | 270421 | 01 |
| VA | SOUEIDAN-SENTARA PROVIDER | 45061 | 01 |
| VA | SOUEIDAN DEA NUMBER | BS3178868 | 01 |
| VA | ANTHEM GROUP NUMBER | 270420 | 01 |
| VA | HARDING-SOUTHERN HEALTH | 84282 | 01 |
| VA | SOUEIDAN-SOUTHERN HEALTH | 95834 | 01 |
| VA | HARDING DEA NUMBER | BH5337046 | 01 |
| VA | 6154085 | 05 | |
| VA | HARDING-SENTARA PROVIDERU | 54560 | 01 |
| VA | 6104215 | 05 |
| Street Address |
120 KINGS WAY SUITE 2700 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952707002 | Riverside Hospital, Inc | General Acute Care Hospital | 120 Kings Way, Suite 3100a, Williamsburg, VA 23185-2505 | 2014-11-17 |
| 1033452040 | Morlinda M Kruegel | Nurse Practitioner | 120 Kings Way, Suite 3500, Williamsburg, VA 23185-2505 | 2013-03-28 |
| 1609148568 | Riverside Physician Services Inc | Psychiatry & Neurology | 120 Kings Way, Suite 2800, Williamsburg, VA 23185-2505 | 2012-02-07 |
| 1316234081 | Karanvir S. Virk | Obstetrics & Gynecology | 120 Kings Way, Suite 3400, Williamsburg, VA 23185-2505 | 2011-07-01 |
| 1467755132 | Riverside Physician Services Inc | Psychiatry & Neurology | 120 Kings Way, Suite 2800, Williamsburg, VA 23185-2505 | 2010-12-17 |
| 1659692960 | Anthony W. Farah | Ophthalmology | 120 Kings Way, Suite 1300, Williamsburg, VA 23185-2505 | 2010-06-21 |
| 1114255908 | Joann Blair Mello | Nurse Practitioner | 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2505 | 2009-12-07 |
| 1700016805 | Riverside Physician Services, Inc | Orthopaedic Surgery | 120 Kings Way, Ste 3500, Williamsburg, VA 23185-2505 | 2009-07-23 |
| 1588890545 | Krystal E Ainsley | Internal Medicine | 120 Kings Way, Suite 1400, Williamsburg, VA 23185-2505 | 2009-06-04 |
| 1700012887 | Starla Marie-stiles Wise | Psychiatry & Neurology | 120 Kings Way, Suite 2700, Williamsburg, VA 23185-2505 | 2009-06-03 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588034862 | Samshines LLC | Specialist | 5501 Brixton Rd, Williamsburg, VA 23185-3868 | 2015-09-30 |
| 1669842233 | Jeffrey Weidig | Specialist | 1913 Miln House Rd, Williamsburg, VA 23185-7699 | 2015-09-25 |
| 1043561160 | Dreams Day Spa | Specialist | 115 Bulifants Blvd, Suite E, Williamsburg, VA 23188-5720 | 2012-09-28 |
| 1619202900 | Brenda Rae Spanjer | Specialist | 89 Rice St, Williamsburg, KY 40769-2077 | 2009-10-05 |
| 1487886537 | Medsource, LLC | Specialist | 3909 Midlands Road, Suite: B, Williamsburg, VA 23188 | 2009-08-21 |
| 1376770412 | Advanced Cardiovascular Institute, Plc Anh N. Campbell Solembr | Specialist | 5215 Monticello Avenue, Suite A, Williamsburg, VA 23188 | 2009-06-16 |
| 1306026869 | Jose A. Erfe, M.d. | Specialist | 481 Mclaws Cir Ste 1, Williamsburg, VA 23185-5645 | 2007-11-13 |
| 1275635229 | John M Pitman IIi | Specialist | 324 Monticello Ave, Williamsburg, VA 23185-2834 | 2006-09-01 |
| 1982612792 | Keith W Schumann | Specialist | 5309 Discovery Park Blvd., Williamsburg, VA 23188 | 2006-08-04 |
| 1376560441 | Pitman Surgical Associates | Specialist | 326 Monticello Ave, Williamsburg, VA 23185-2834 | 2006-07-16 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
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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.