NPIMap

Organization Active NPI

First Med of Williamsburg

  • Adult Medicine Physician
  • Williamsburg, VA
National Provider Identifier
1669631560
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0101035546 Issued in VA
Legal business name
FIRST MED OF WILLIAMSBURG
Practice address
312 2ND St
Williamsburg, VA 23185-4528
Phone
(757) 229-4141
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. Richard Anthony Campana Sr., M.D.
Title
President
Phone
(757) 229-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 0101035546 VA Primary

Addresses

Primary practice location

312 2ND St
Williamsburg, VA 23185-4528

Mailing address

312 2ND St
Williamsburg, VA 23185-4528
Phone (757) 229-4141

Other identifiers 1

IdentifierTypeStateIssuer
004203OtherVAANTHEM PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1669631560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 2ND ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854528",
            "telephone_number": "757-229-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 2ND ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854528",
            "telephone_number": "757-229-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MED OF WILLIAMSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "CAMPANA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-229-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101035546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "004203",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 17, 2014; 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.