MOUNTAINEER GASTROENTEROLOGY INC (NPI# 1619164365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619164365 |
Entity Type | Organization |
Organization Name | MOUNTAINEER GASTROENTEROLOGY INC |
Practice Address |
1100 Cedar Valley Dr Cedar Bluff VA 24609 |
Mailing Address |
4035 College Avenue #102 Bluefield VA 24605 |
Practice Telephone | 2765969980 |
Practice Fax Number | 2765969981 |
Mailing Telephone | 2765969980 |
Mailing Fax Number | 2765969981 |
Enumeration Date | 2007-09-26 |
Last Update Date | 2010-09-21 |
Authorized Official Name | THOMAS B CORTELLESI (OWNER/PRESIDENT) |
Authorized Official Telephone | 2765969980 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
1732 | WV | Allopathic & Osteopathic Physicians |
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0102037199 | VA | Allopathic & Osteopathic Physicians |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Mountaineer Gastroenterology Inc. | 4035 College Avenue, #102, Bluefield, Virginia 24605 |
Street Address |
1100 CEDAR VALLEY DR, |
City | CEDAR BLUFF |
State | VA |
Zip Code | 24609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831669498 | Appalachian Agency for Senior Citizens, Inc | Non-emergency Medical Transport (VAN) | 164 College Ridge Road, Cedar Bluff, VA 24609 | 2018-11-27 |
1568930568 | Jerry Gray Gilchrist IIi | Private Vehicle | 308 College Estates Rd, Cedar Bluff, VA 24609 | 2018-11-07 |
1538575949 | At Home Personal Care | In Home Supportive Care | 2032 Cedar Valley Dr, Suite1, Cedar Bluff, VA 24609 | 2014-07-07 |
1124375217 | Billy Chad Mullins | Counselor | 216 College Ridge Rd., Cedar Bluff, VA 24609 | 2012-08-08 |
1124329388 | Healing Waters Counseling Center | Social Worker | 1113 Cedar Valley Dr., Cedar Bluff, VA 24609 | 2010-11-04 |
1154658854 | Bradley Todd Kinder | Counselor | 1100 Cedar Valley Drive, Suite 3, Cedar Bluff, VA 24609 | 2009-11-17 |
1447488796 | Thomas Luke Stillwell | Optometrist | 7831 Mountain Rd, Cedar Bluff, VA 24609 | 2009-06-25 |
1467698639 | Family Preservation Services, Inc | Community/Behavioral Health | 1089, Cedar Bluff, VA 24609 | 2008-12-18 |
1366614869 | Susan Renee Harris | Nurse Practitioner | 541 Community College Rd, Dickenson Hall, Cedar Bluff, VA 24609 | 2008-03-25 |
1841472040 | Roy C Gomez, Md, PC | Clinic/Center | 2308 Cedar Valley Drive, Cedar Bluff, VA 24609 | 2007-11-29 |
Find all providers in zip 24609 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891338745 | Gastrointestinal and Liver Specialists of Tidewater Pllc | Internal Medicine | 1101 First Colonial Rd Ste 400, Virginia Beach, VA 23454-2409 | 2019-10-23 |
1811544240 | Zhenxia Na Shuai | Internal Medicine | 44055 Riverside Pkwy Ste 220, Leesburg, VA 20176-5177 | 2019-08-21 |
1932763786 | Stonesprings Gastroenterology Pllc | Internal Medicine | 24430 Stone Springs Blvd Ste 200, Dulles, VA 20166-2267 | 2019-04-26 |
1013439835 | Maryview Hospital | Internal Medicine | 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602-4414 | 2017-07-13 |
1851741912 | Alkimawi Medical Incorporated | Internal Medicine | 4209 Dale Blvd, Woodbridge, VA 22193-2243 | 2016-06-20 |
1750739009 | Omer Shahab | Internal Medicine | Vcuhs Dept of Medicine Gastroenterology 980257, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-05-27 |
1962842583 | Patty Tian Wang | Internal Medicine | 1717 Will O'wisp Drive, Suite 200, Virginia Beach, VA 23454 | 2013-06-27 |
1578858155 | Mohammad Shadab Siddiqui | Internal Medicine | 1200 E. Broad Street, West Hospital, 14th Floor, Richmond, VA 23298 | 2011-06-13 |
1154637056 | Mohammed Albugeaey | Internal Medicine | 190 Campus Blvd Ste 300, Winchester, VA 22601-2872 | 2010-08-30 |
1326350570 | Ben Persons Bradenham Jr. | Internal Medicine | 7611 Forest Ave Ste 410, Richmond, VA 23229-4946 | 2010-07-03 |
Find all providers with the same taxonomy |
City | CEDAR BLUFF |
Zip Code | 24609 |
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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.