MEDICARE: WILLIAMSBURG GASTROENTEROLOGY, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1043358328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMSBURG GASTROENTEROLOGY, PC

Provider Business Mailing Address
First Line	:	457 MCLAWS CIR
Second Line	:	SUITE 1
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-5645
Country	:	US
Telephone Number	:	757-221-0750
Fax Number	:	757-345-3243

Provider Business Practice Location Address
First Line	:	457 MCLAWS CIR
Second Line	:	SUITE 1
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-5645
Country	:	US
Telephone Number	:	757-221-0750
Fax Number	:	757-345-3243

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH O CONVERSE
Credential	:	M.D.
Telephone Number	:	757-221-0750

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1184374860 — ALAINA M LAMARCO
Practice Location Address:

457 MCLAWS CIR
WILLIAMSBURG, VA
23185-5645

Practice Phone: 757-271-4447
Practice Fax:

1386619393 — JOHN D LONG MD
Practice Location Address:

457 MCLAWS CIR
WILLIAMSBURG, VA
23185-5645

Practice Phone: 757-221-0750
Practice Fax: 757-229-5168

1417916453 — DR. RANDY N WALTON PH.D.
Practice Location Address:

481 MCLAWS CIR , SUITE 1
WILLIAMSBURG, VA
23185-5645

Practice Phone: 757-229-9286
Practice Fax: 757-229-9626

1215975370 — SHAHWALI AREZO MD
Practice Location Address:

457 MCLAWS CIR , SUITE 1
WILLIAMSBURG, VA
23185-5645

Practice Phone: 757-221-0750
Practice Fax: 757-229-5168

1851480248 — DR. JAMES A BURDEN D.D.S.
Practice Location Address:

277 MCLAWS CR.
WILLIAMSBURG, VA
23185-5645

Practice Phone: 757-229-1224
Practice Fax: 757-220-2414

1316097884 — PATRICIA MARIE WILKINSON LCSW
Practice Location Address:

481 MCLAWS CIR , SUITE 1
WILLIAMSBURG, VA
23185-5645

Practice Phone: 757-879-5525
Practice Fax: 757-229-9626

Directions to “WILLIAMSBURG GASTROENTEROLOGY, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.