NPIMap

Individual provider Active NPI

Richard Stuart Williams, MD

  • Aerospace Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1477079754
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
0101034095 Issued in VA
Practice address
81 Flight Line Dr
Fredericksburg, VA 22405-1437
Phone
(540) 273-7993
NPI assigned
Aug 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 0101034095 VA Primary

Addresses

Primary practice location

81 Flight Line Dr
Fredericksburg, VA 22405-1437

Mailing address

81 Flight Line Dr
Fredericksburg, VA 22405-1437
Phone (540) 273-7993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206000548 VA Practitioner - General SurgeryPractitioner - Other (Physician) 7719227693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Virginia Commonwealth University, School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth of Virginia State Board of Health 13 clinicians

Practice addresses (Care Compare)

1138 Rose Hill Dr
Charlottesville, VA 22903-5128
Phone (434) 972-6219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Virginia State Board of Health Current Accepting new patients
Commonwealth of Virginia State Board of Health CurrentSince Dec 1, 2023 Accepting new patients
Commonwealth of Virginia State Board of Health Past Accepting new patients

Locations

1138 Rose Hill Dr
Charlottesvle, VA 22903
Phone (434) 972-6200

132 Main St
Palmyra, VA 22963
Phone (434) 591-1910

109 Governor St
Fl 13
Richmond, VA 23219
Phone (804) 864-7009

134 Roberts Ave SW
Wise, VA 24293
Phone (276) 328-8000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477079754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 FLIGHT LINE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051437",
            "telephone_number": "540-273-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 FLIGHT LINE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051437",
            "telephone_number": "540-273-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RICHARD",
        "middle_name": "STUART",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101034095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.