VIRGINIA GASTROENTEROLOGY INSTITUTE PC


Address: 3910 Bridge Rd Ste 101, Suffolk, VA 23435-1107
Phone: 7579422566

VIRGINIA GASTROENTEROLOGY INSTITUTE PC (NPI# 1881210805) 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) 1881210805
Entity Type Organization
Organization Name VIRGINIA GASTROENTEROLOGY INSTITUTE PC
Practice Address 3910 Bridge Rd Ste 101
Suffolk
VA 23435-1107
Practice Telephone 7579422566
Practice Fax Number 8553131070
Mailing Telephone 7579422566
Mailing Fax Number 8553131070
Enumeration Date 2020-06-25
Last Update Date 2020-06-25
Authorized Official Name LISA WHITE (BILLING)
Authorized Official Telephone 7579422566
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1800X Clinic/Center
Specialization: Corporate Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Virginia Gastroenterology Institute Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134593494 Virginia Gastroenterology Institute PC Internal Medicine 102 Fairview Dr, Suite B, Franklin, VA 23851-1226 2015-11-23

Office Location

Street Address 3910 BRIDGE RD STE 101
City SUFFOLK
State VA
Zip Code 23435-1107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902882954 Pramod Malik Internal Medicine 3910 Bridge Rd Ste 101, Suffolk, VA 23435-1107 2005-12-21

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Taxonomy Information

Taxonomy Code 261QC1800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Corporate Health

Taxonomy Definition

Definition to come...

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Competitor

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City SUFFOLK
Zip Code 23435

Improve Information

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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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