GASTROINTESTINAL & LIVER SPECIALIST OF TIDEWATER PLLC


Address: 400 Sentara Cir Ste 103, Williamsburg, VA 23188-5716
Phone: 7575347701

GASTROINTESTINAL & LIVER SPECIALIST OF TIDEWATER PLLC (NPI# 1992752521) 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) 1992752521
Entity Type Organization
Organization Name GASTROINTESTINAL & LIVER SPECIALIST OF TIDEWATER PLLC
Other Organization Name COLONIAL GASTROENTEROLOGY
Practice Address 400 Sentara Cir Ste 103
Williamsburg
VA 23188-5716
Mailing Address 11803 Jefferson Ave
Ste 230
Newport News
VA 23606-2565
Practice Telephone 7575347701
Practice Fax Number 7575347708
Mailing Telephone 7575347701
Mailing Fax Number 7575347708
Enumeration Date 2006-05-28
Last Update Date 2020-06-09
Authorized Official Name CHERYL MILLER (ADMINISTRATOR)
Authorized Official Telephone 7578066167
Is Organization Subpart Y
Parent Organization Name GASTROINTESTINAL & LIVER SPECIALIST OF TIDEWATER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
COLONIAL GASTROENTEROLOGY Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
11803 Jefferson Ave, Ste 230, Newport News, VA 236062565 7575347701 7575347708

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760541460 Gastrointestinal & Liver Specialist of Tidewater Pllc Internal Medicine 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435 2006-12-08

Office Location

Street Address 400 SENTARA CIR STE 103
City WILLIAMSBURG
State VA
Zip Code 23188-5716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396206710 Debra Statz Physician Assistant 400 Sentara Cir Ste 103, Williamsburg, VA 23188-5716 2019-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992287833 Kathryn Goss Atanasov Counselor Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 2018-09-06
1386180933 Brittany Marie Purdy Physical Therapist 6425 Richmond Road, Williamsburg, VA 23188 2017-01-06
1770930745 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 6485 Centerville Rd, Williamsburg, VA 23188 2016-05-19
1073979738 Sharon Harper Social Worker 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 2016-01-12
1710362819 Diamond Healthcare Social Worker 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 2015-07-30
1922489749 Uc Davis Medical Center General Acute Care Hospital 3905 Cold Spring Rd, Williamsburg, VA 23188 2015-06-17
1013326214 Deandra Smith Developmental Therapist 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 2014-08-13
1255751590 Lisa Marie Frazier Counselor 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 2014-04-25
1972883569 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 7529 Richmond Rd, Williamsburg, VA 23188 2011-08-26
1720386816 Harry Leon White Pharmacist 114 Molesey Hurst, Williamsburg, VA 23188 2011-03-14
Find all providers in zip 23188

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669485330 Joseph Oliver Converse Internal Medicine 457 Mclaws Circle, Suite 1, Williamsburg, VA 23185 2006-08-14
1386619393 John D Long Internal Medicine 457 Mclaws Cir, Williamsburg, VA 23185-5645 2006-02-22
1811211394 Digestive Disease Center of Virginia, PC Internal Medicine 4125 Ironbound Rd, Suite 201, Williamsburg, VA 23188-2666 2010-03-26
1083867311 Riverside Physician Services Inc Internal Medicine 120 Kings Way, Suite 3200 & 3300, Williamsburg, VA 23185-2505 2008-10-30
1043358328 Williamsburg Gastroenterology, PC Internal Medicine 457 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5645 2007-02-01
1376556050 Richard J Hartle Internal Medicine 5424 Discovery Park Blvd, Suite 104, Williamsburg, VA 23188-2862 2006-08-14
1215975370 Shahwali Arezo Internal Medicine 457 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5645 2006-06-02

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City WILLIAMSBURG
Zip Code 23188

Improve Information

Please comment or provide details below to improve the information on GASTROINTESTINAL & LIVER SPECIALIST OF TIDEWATER PLLC.

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.

Trending Searches