Doctors' Hospital of Williamsburg
Organization Active NPI General Acute Care Hospital · Williamsburg, VA
NPI 1275893307 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1275893307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- H1937 (VA)
- Legal business name
- DOCTORS' HOSPITAL OF WILLIAMSBURG
- Practice address
- 1500 Commonwealth Avenue
Williamsburg, VA 23185 - Phone
- (757) 345-3000
- Fax
- (757) 345-0138
- NPI assigned
- May 23, 2012
- Organization subpart
- No
Authorized official
- Name
- Walter W Austin Jr.
- Title
- Sr Vice President/Cfo
- Phone
- (757) 875-7545
Owners & managing parties with NPI records 25
-
Shawn Flanagan, M.D.
Member of 1
Facilities with the same owner 23
Practitioners 1
Affiliated clinicians 492
-
Maen Abou Ziki, MD
-
Roshan Acharya, M.D.
-
Elsie Achieng, M.D.
-
Mary Elizabeth Adams, N.P.
-
Joseph T Adinaro, MD
-
Tasmia Ahmed, M.D.
-
Audra Elizabeth Albert, FNP-C
-
John William Aldridge, M.D.
-
Andrea Jacqueline Alejo, M.D.
-
Ivan Alger, DO
-
Deborah Almeda, FNP-C
-
David Harvey Alpert, M.D.
-
Javier Amadeo, MD
-
Biral S Amin, M.D.
-
Noor Anouti, MD
-
Shahwali Arezo, MD
Medicare Care Compare: Hospital
- Listed as
- Riverside Doctors' Hospital of Williamsburg
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Hospital certification: CCN 490143
- Legal name
- DOCTORS' HOSPITAL OF WILLIAMSBURG
- Doing business as
- RIVERSIDE DOCTORS HOSPITAL OF WILLIAMSBURG
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- May 28, 2013
- Last certification
- May 28, 2013
- Beds
- 40
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 23, 2008 in VA
- Enrollment address
- 1500 Commonwealth Ave
Williamsburg, VA 23185-5229 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Susanna Hickman |
Corporate Director |
Feb 1, 2014 | |
| Robert J Courter |
Corporate Director |
Feb 1, 2017 | |
| Walter W Austin |
Corporate Officer |
Apr 29, 2013 | |
| Jason Houser |
Corporate Officer |
Feb 1, 2012 | |
| Andrew T Hill |
Corporate Director |
Feb 1, 2023 | |
| Claudia a McMurray |
Corporate Director |
Feb 1, 2024 | |
| Robert Ralph Harding |
Corporate Director |
Feb 1, 2024 | |
| Michael J Dacey |
Corporate Officer |
Feb 1, 2018 | |
| Corporate Director |
Feb 1, 2018 | ||
| Riverside Healthcare Association, Inc. |
5% Or Greater Direct Ownership Interest | Apr 29, 2013 | 100% |
| Barbara J. Labonte |
W-2 Managing Employee |
Apr 29, 2013 | |
| Dana W Tomlin |
Corporate Director |
Feb 1, 2023 | |
| Eric Stone |
Corporate Director |
Feb 1, 2016 | |
| Rector & Visitors of the University of Virginia |
5% Or Greater Indirect Ownership Interest | Jul 10, 2023 | 5% |
| Riverside Integrated Services Inc |
5% Or Greater Indirect Ownership Interest | Jul 10, 2023 | 95% |
| Thomas M Kayrouz |
Corporate Officer |
Aug 28, 2023 | |
| Victor Holman |
Corporate Director |
Feb 1, 2024 | |
| Shawn a Flanagan |
Corporate Director |
Feb 1, 2020 | |
| Betsy C Anderson |
Corporate Director |
Feb 1, 2023 | |
| Adria N Vanhoozier |
Corporate Officer |
Oct 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130212000160 | VA | Part a Provider - Hospital | 7517111966 | Practice locations: Williamsburg, VA |
National Provider Directory
Locations
3700 Battery Blvd
Ste 104
Williamsburg, VA 23185
Phone (757) 782-6340
219 Bulifants Blvd
Ste C
Williamsburg, VA 23188
Phone (757) 378-5090
5225 Settlers Market Blvd
Ste 200B
Williamsburg, VA 23188
Phone (757) 782-6650
301 College Row
Ste 9101B
Williamsburg, VA 23185
Phone (757) 782-6250
5251 John Tyler Hwy
Ste 2
Williamsburg, VA 23185
Phone (757) 345-3795
5700 Warhill Trl
Ste A
Williamsburg, VA 23188
Phone (757) 378-5020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | H1937 | VA | Yes |
Addresses
Primary practice location
1500 Commonwealth Avenue
Williamsburg, VA 23185
Mailing address
608 Denbigh Blvd
Suite 800
Newport News, VA 23608-4410
Phone (757) 875-7545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275893307 | Medicaid | VA |
Other names
- Riverside Doctors Hospital Williamsburg
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Williamsburg, VA
- Shannon Leigh Dishman
- Divine Intensive Inc.
- Divine Intensive Inc.
- Joanna Dixon
- Doctors of Williamsburg, PC
- Matthew T. Doherty
- Brittany Leanna Dolan
- Darianne Dolewski
- Charles J Donlan Jr.
- Donna M Corvette MD PLLC
All providers in Williamsburg, VA · General Acute Care Hospital in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.