Williamsburg Gastroenterology, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

WILLIAMSBURG GASTROENTEROLOGY, PC

Practice address

457 McLaws Cir
Suite 1
Williamsburg, VA 23185-5645

Phone

(757) 221-0750

Fax

(757) 345-3243

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph O Converse, M.D.NPI 1669485330

Title

President

Phone

(757) 221-0750

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Oliver Converse, MD

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1669485330
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043358328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 MCLAWS CIR",
            "address_2": "SUITE 1",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855645",
            "telephone_number": "757-221-0750",
            "fax_number": "757-345-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 MCLAWS CIR",
            "address_2": "SUITE 1",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855645",
            "telephone_number": "757-221-0750",
            "fax_number": "757-345-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONVERSE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-221-0750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.