WILLIAMSBURG AREA MEDICAL ASSISTANCE CORPORATION (NPI# 1639137078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639137078 |
| Entity Type | Organization |
| Organization Name | WILLIAMSBURG AREA MEDICAL ASSISTANCE CORPORATION |
| Other Organization Name | OLDE TOWNE MEDICAL CENTER |
| Practice Address |
5249 Olde Towne Rd Williamsburg VA 23188-8111 |
| Practice Telephone | 7572593258 |
| Practice Fax Number | 7572201953 |
| Mailing Telephone | 7572593258 |
| Mailing Fax Number | 7572201953 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | DENISE A BOWLES (BUSINESS MANAGER) |
| Authorized Official Telephone | 7572593254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Olde Towne Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871583393 | Williamsburg Area Medical Assistance Corporation | Dentist | 5249 Olde Towne Rd, Williamsburg, VA 23188-8111 | 2005-10-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | WILLIAMSBURG AREA MEDICAL ASSISTANCE CORPORATION | 5249 Old Towne Road, Williamsburg, Virginia 23188 |
| Street Address |
5249 OLDE TOWNE RD |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871583393 | Williamsburg Area Medical Assistance Corporation | Dentist | 5249 Olde Towne Rd, Williamsburg, VA 23188-8111 | 2005-10-26 |
| 1205379708 | Jamara Allen | Nurse Practitioner | 5249 Olde Towne Rd, Williamsburg, VA 23188-8111 | 2016-12-01 |
| 1790230456 | Marirose David | Nurse Practitioner | 5249 Olde Towne Rd, Williamsburg, VA 23188-8111 | 2016-08-23 |
| 1497132880 | Kendra Robinson | Registered Nurse | 5249 Olde Towne Rd, Williamsburg, VA 23188-8111 | 2015-05-05 |
| 1245637404 | Stacey Richman | Nurse Practitioner | 5249 Olde Towne Rd, Williamsburg, VA 23188-8111 | 2014-12-03 |
| 1851701924 | Robert Nelson Emory | Dentist | 5249 Olde Towne Rd, Williamsburg, VA 23188-8111 | 2014-04-29 |
| 1932384567 | John Charles Marsh | General Practice | 5249 Olde Towne Rd, Suite D, Williamsburg, VA 23188-8111 | 2008-01-02 |
| 1174718514 | Roger Hobart Perry | Pediatrics | 5249 Olde Towne Rd, Suite D, Williamsburg, VA 23188-8111 | 2007-09-10 |
| 1558567115 | John Murdaugh Shepherd Jr. | Dentist | 5249 Olde Towne Rd, Olde Towne Medical Center, Williamsburg, VA 23188-8111 | 2007-06-21 |
| 1750598249 | Richard Otto Stader | Orthopaedic Surgery | 5249 Olde Towne Rd, Williamsburg, VA 23188-8111 | 2007-05-16 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1548755739 | Baptist Health Medical Group Inc | Clinic/Center | 403 Sycamore St, Williamsburg, KY 40769-1153 | 2018-06-29 |
| 1154797538 | Careplus Rural Health Clinic, LLC | Clinic/Center | 998 S Highway 25 W, Suite 1, Williamsburg, KY 40769-1692 | 2015-08-19 |
| 1740526888 | Preferred Healthcare Incorporated | Clinic/Center | 686 S Highway 25 W, Williamsburg, KY 40769-1604 | 2012-12-18 |
| 1376689620 | Williamsburg Family Medicine Center | Clinic/Center | 475 N Highway 25 W, Williamsburg, KY 40769-1576 | 2007-01-30 |
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| 1154857019 | Bath County Community Hospital | Clinic/Center | 713 S Monroe Ave, Covington, VA 24426-1832 | 2017-05-11 |
| 1891154019 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 121 Stacy Dr, Pennington Gap, VA 24277-1929 | 2016-02-16 |
| 1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
| 1487818902 | St. Mary's Health Wagon | Clinic/Center | 233 Chase St., Clintwood, VA 24228 | 2008-07-14 |
| 1609054733 | Mountain States Health Alliance | Clinic/Center | 16431 Wise Street, Saint Paul, VA 24283-3537 | 2008-01-31 |
| 1013199322 | Page Memorial Hospital, Inc. | Clinic/Center | 505 Williams Ave, Shenandoah, VA 22849-1263 | 2007-11-28 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
Please comment or provide details below to improve the information on WILLIAMSBURG AREA MEDICAL ASSISTANCE CORPORATION.
| 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.