NPIMap

Organization Active NPI

Doctors of Williamsburg, PC

Doing business as Williamsburg Urgent Care

  • Urgent Care Clinic/Center
  • Williamsburg, VA
National Provider Identifier
1316410798
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DOCTORS OF WILLIAMSBURG, PC
Doing business as
Williamsburg Urgent Care
Practice address
5239 Monticello Ave
Courthouse Commons, Suites B & C
Williamsburg, VA 23188-8213
Phone
(757) 279-2999
NPI assigned
Jan 8, 2019
Last updated
May 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Dr. Anna Stankiewicz, MDNPI 1679589584
Title
President/Ceo
Phone
(757) 279-2999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

5239 Monticello Ave
Courthouse Commons, Suites B & C
Williamsburg, VA 23188-8213

Mailing address

PO Box 5181
Doctors of Williamsburg, PC
Williamsburg, VA 23188-5202
Phone (757) 279-2999

Other identifiers 2

IdentifierTypeStateIssuer
1679589584OtherVANPI
1679589584MedicaidVA

Other names 1

  • Williamsburg Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190510000280 VA Part B Supplier - Clinic/Group Practice 2466795604 Receives reassigned benefits from 12 practitioners
Practice locations: Williamsburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2164416Williamsburg Urgent Care5239 Monticello Ave St B,C, Williamsburg, VA 23188Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Locations

5239 Monticello Ave
Ste Ab
Williamsburg, VA 23188

5239 Monticello Ave
Ste B
Williamsburg, VA 23188
Phone (757) 279-2999

5239 Monticello Ave
Ste Bc
Williamsburg, VA 23188
Phone (757) 279-2999

7201 Richmond Rd
Williamsburg, VA 23188
Phone (757) 279-2999

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1316410798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5181",
            "address_2": "DOCTORS OF WILLIAMSBURG, PC",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885202",
            "telephone_number": "757-279-2999",
            "fax_number": "757-279-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 MONTICELLO AVE",
            "address_2": "COURTHOUSE COMMONS, SUITES B & C",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888213",
            "telephone_number": "757-279-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS OF WILLIAMSBURG, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "STANKIEWICZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "757-279-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679589584",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679589584",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.