GASTROENTEROLOGY ASSOCIATES PC


Address: 7915 Lake Manassas Dr, Suite 302, Gainesville, VA 20155-3260
Phone: 5712480653

GASTROENTEROLOGY ASSOCIATES PC (NPI# 1518990472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518990472
Entity Type Organization
Organization Name GASTROENTEROLOGY ASSOCIATES PC
Practice Address 7915 Lake Manassas Dr
Suite 302
Gainesville
VA 20155-3260
Mailing Address 8640 Sudley Rd Ste 201
Manassas
VA 20110-4404
Practice Telephone 5712480653
Practice Fax Number 5712480658
Mailing Telephone 7033686819
Mailing Fax Number 7033302923
Enumeration Date 2006-07-07
Last Update Date 2013-07-01
Authorized Official Name SAMANTHA FERGUSON (CREDENTIALING SPECIALIST)
Authorized Official Telephone 7033686819
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 0101027526 VA Other Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811909807 Gastroenterology Associates PC Internal Medicine 1441 Wilkins Circle, Gastroenterology Associates PC, Capser, WY 82601 2006-08-12
1821022161 Gastroenterology Associates PC Internal Medicine 2222 53rd Avenue, Bettendorf, IA 52753 2006-07-11
1194786566 Gastroenterology Associates PC Specialist 10000 Se Main St, Suite 203, Portland, OR 97216-2448 2006-03-28

Office Location

Street Address 7915 LAKE MANASSAS DR
SUITE 302
City GAINESVILLE
State VA
Zip Code 20155-3260

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205839073 Mary A Speicher Dentist 7915 Lake Manassas Dr, Suite 115, Gainesville, VA 20155-3258 2005-05-24
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1982859252 Am Sleep Centers Inc. Clinic/Center 7915 Lake Manassas Dr, Gainesville, VA 20155-3258 2008-11-29
1356539100 Lake Manassa Dental Center Dentist 7915 Lake Manassas Dr, Ste 115, Gainesville, VA 20155 2007-10-05
1629269527 Mylan Satchi Internal Medicine 7915 Lake Manassas Dr, Ste 302, Gainesville, VA 20155-3260 2007-08-06
1336172154 Kenneth W Gerard Anesthesiology 7915 Lake Manassas Dr, Ste 302, Gainesville, VA 20155-3260 2006-07-07
1265478580 Claire E. Jenkins Nurse Anesthetist, Certified Registered 7915 Lake Manassas Dr, Suite 302, Gainesville, VA 20155-3258 2006-06-22
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1588053532 Jacquelyn Rosado Specialist 2035 Sw 75th St Ste B, Suite B, Gainesville, FL 32607-3425 2015-01-14
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Competitor

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City GAINESVILLE
Zip Code 20155

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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