Active NPI
Williamsburg Family Physicians P.C.
- Primary Care Clinic/Center
- Lincoln, NE
National Provider Identifier
1366406928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 17216
- Legal business name
- WILLIAMSBURG FAMILY PHYSICIANS P.C.
- Practice address
- 6041 Village Dr
Suite 130
Lincoln, NE 68516-6619 - Phone
- (402) 423-1382
- Fax
- (402) 423-3590
- NPI assigned
- Apr 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard J Jirovec, M.D.
- Title
- Owner
- Phone
- (402) 423-1382
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 17216 | NE | Primary |
| Primary Care Clinic/Center | 261QP2300X | 356 | NE |
Addresses
Primary practice location
6041 Village Dr
Suite 130
Lincoln, NE 68516-6619
Mailing address
6041 Village Dr
Suite 130
Lincoln, NE 68516-6619
Phone (402) 423-1382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0455332 | Williamsburg Family Physicians | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
6041 Village Dr
Ste 130
Lincoln, NE 68516
Phone (402) 423-1382
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1609826080
-
- Family Nurse Practitioner
- Lincoln, NE
- NPI 1619544426
-
- Family Nurse Practitioner
- Lincoln, NE
- NPI 1912856600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295481600000",
"number": "1366406928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6041 VILLAGE DR",
"address_2": "SUITE 130",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166619",
"telephone_number": "402-423-1382",
"fax_number": "402-423-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6041 VILLAGE DR",
"address_2": "SUITE 130",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166619",
"telephone_number": "402-423-1382",
"fax_number": "402-423-3590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSBURG FAMILY PHYSICIANS P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2011-01-20",
"status": "A",
"authorized_official_last_name": "JIROVEC",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-423-1382",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NE",
"license": "17216",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NE",
"license": "356",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.