Williamsburg Endocrinology Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

0101059029 Issued in VA

Legal business name

WILLIAMSBURG ENDOCRINOLOGY INC

Practice address

207 Bulifants Blvd Ste D
Williamsburg, VA 23188-5732

Phone

(757) 565-9586

Fax

(757) 565-9588

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Katherine A Roberts, M.D.NPI 1437348851

Title

President

Phone

(757) 565-9586

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine A Roberts, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Williamsburg, VA
  • NPI 1437348851
  Medicare reassignment NPD Authorized official
• Caroline Fornshell, RD

  • Registered Dietitian
  • Williamsburg, VA
  • NPI 1699015891
  NPD (past)
• Rosemary Hutcherson, RD

  • Registered Dietitian
  • Williamsburg, VA
  • NPI 1982075032
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1700808359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BULIFANTS BLVD STE D",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885732",
            "telephone_number": "757-565-9586",
            "fax_number": "757-565-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BULIFANTS BLVD STE D",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885732",
            "telephone_number": "757-565-9586",
            "fax_number": "757-565-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG ENDOCRINOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-565-9586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101059029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Williamsburg Famiily Physicians, Inc.
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• Williamsburg Gastroenterology, PC

• Endocrinology, Diabetes & Metabolism Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.