RICHARD DAVID BAGNALL (NPI# 1003803149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003803149 |
| Entity Type | Individual |
| Full Name | RICHARD DAVID BAGNALL |
| Credential | MD |
| Practice Address |
120 Kings Way Suite 1400 Williamsburg VA 23185-2505 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7573452555 |
| Practice Fax Number | 7573450366 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101102591 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1003803149 | 05 |
| Street Address |
120 KINGS WAY SUITE 1400 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196872 | Williamsburg Neurology, P.C. | Specialist | 120 Kings Way, Suite 2700, Williamsburg, VA 23185-2505 | 2005-07-06 |
| 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 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487138020 | Kenneth Allen Kleyn | Family Medicine | 5548 Millbrook Dr, Williamsburg, MI 49690-9214 | 2018-09-19 |
| 1487188579 | Christina A. Mutch | Family Medicine | 2225 S Henry St Ste U2, Williamsburg, VA 23185-3973 | 2017-04-14 |
| 1669835989 | Community Health Systems Inc. | Family Medicine | 8965 Shoestring Trail, Williamsburg, WV 24991-0010 | 2016-04-04 |
| 1386028769 | Crystal Lake Clinic P.C. | Family Medicine | 6170 Us Highway 31 N, Williamsburg, MI 49690-9306 | 2015-07-15 |
| 1043606098 | Sentara Medical Group | Family Medicine | 1915 Pocahontas Trl, Ste F5, Williamsburg, VA 23185-5663 | 2015-04-07 |
| 1548681216 | Marengo Memorial Hospital | Family Medicine | 498 N Highland St., Williamsburg, IA 52361-9695 | 2013-12-26 |
| 1265616221 | First Med of Williamsburg | Family Medicine | 312 Second Street, Williamsburg, VA 23185 | 2007-12-26 |
| 1740478601 | David May Do Pllc | Family Medicine | 3939 M-72 East #210, Williamsburg, MI 49690 | 2007-10-04 |
| 1588865026 | Deanna Lynne Trail | Family Medicine | 3096 Nathaniels Grn, Williamsburg, VA 23185-7505 | 2007-05-31 |
| 1801934682 | Giacomo A Ricciarelli | Family Medicine | 263 Mclaws Circle, Suite 105, Williamsburg, VA 23185-5629 | 2007-02-02 |
| 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.