Suresh G Jayatilaka (NPI# 1265557953, PAC ID# 0648363267) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1265557953 |
| PAC ID by PECOS | 0648363267 |
| Professional Enrollment ID | I20070912000260 |
| Full Name | Suresh G Jayatilaka |
| Organization Legal Name | SOUTHERN GASTROENTEROLOGY ASSOCIATES PC |
| Address |
2232 Wilborn Ave South Boston VA 24592-1662 |
| Phone Number | 4345728196 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840383451 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490013 | SENTARA HALIFAX REGIONAL HOSPITAL |
| 340159 | PERSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 503 Ridge Rd, Roxboro, NC 27573-4627 | DLP PERSON PHYSICIAN PRACTICES LLC | |
| 515 Ridge Rd, Roxboro, NC 27573-4627 | 3363224040 | DLP PERSON PHYSICIAN PRACTICES LLC |
| 601 Ridge Rd, Roxboro, NC 27573-4629 | 3365995754 | DLP PERSON PHYSICIAN PRACTICES LLC |
| 615 Ridge Rd, Roxboro, NC 27573-4629 | DLP PERSON PHYSICIAN PRACTICES LLC | |
| 2232 Wilborn Ave, South Boston, VA 24592-1662 | 4345728196 | SOUTHERN GASTROENTEROLOGY ASSOCIATES PC |
| Organization Legal Name | SOUTHERN GASTROENTEROLOGY ASSOCIATES PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bakul K Patel | Gastroenterology | Southern Gastroenterology Associates PC | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Katherine Gambino | Physician Assistant | Southern Gastroenterology Associates PC | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Whitney A. Myers | Nurse Practitioner | Southern Gastroenterology Associates PC | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Street Address |
2232 WILBORN AVE |
| City | SOUTH BOSTON |
| State | VA |
| Zip | 24592-1662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle B Gibson | Nurse Practitioner | Dominion Health Medical Assoc | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Fernando Gomez-rivera | Otolaryngology | Dominion Health Medical Assoc | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Kelly G Smith | Nurse Practitioner | Dominion Health Medical Assoc | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Babita B Patel | Infectious Disease | 2232 Wilborn Ave, Suite J, South Boston, VA 24592-1662 | |
| Tessie Otero Truitt | Endocrinology | 2232 Wilborn Ave, Suite B, South Boston, VA 24592-1662 | |
| Edward S Purvis Ii | General Surgery | Dominion Health Medical Assoc | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Bakul K Patel | Gastroenterology | Southern Gastroenterology Associates PC | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Katherine Gambino | Physician Assistant | Southern Gastroenterology Associates PC | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Cynthia Blanks Cole | Nurse Practitioner | Halifax Internal Medicine, Pllc | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Marie K Ketchersid | Internal Medicine | Halifax Internal Medicine, Pllc | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Humphries | Nurse Practitioner | Godocs South Boston, LLC | 3130 C, South Boston, VA 24592 |
| Christi L Hughart | Urology | Urology of Virginia Pllc | 2202 Beechmont Rd, Suite A, South Boston, VA 24592-1614 |
| Jonathan M Lenzen | Pulmonary Disease | Pulmonary Associates of Southside Virginia, Inc | 2210 Wilborn Ave, South Boston, VA 24592-1630 |
| Kenneth Owen Price | Neurosurgery | University of North Carolina At Chapel Hill | 2206 Wilborn Ave, Suite 1, South Boston, VA 24592-1630 |
| Lovetta Pugh | General Surgery | Dominion Health Medical Assoc | 2212 Wilborn Ave, South Boston, VA 24592-1630 |
| Remberto J Bitar | Pulmonary Disease | Pulmonary Associates of Southside Virginia, Inc | 2210 Wilborn Ave, South Boston, VA 24592-1630 |
| Duc K Trieu | Obstetrics/gynecology | 2212 Wilborn Ave, South Boston, VA 24592-1630 | |
| Terrance J Truitt | Pulmonary Disease | Pulmonary Associates of Southside Virginia, Inc | 2210 Wilborn Ave, South Boston, VA 24592-1630 |
| Joseph M Compton Sr. | Physician Assistant | Pulmonary Associates of Southside Virginia, Inc | 2210 Wilborn Ave, South Boston, VA 24592-1630 |
| Nicholas R Hall | Physician Assistant | Pulmonary Associates of Southside Virginia, Inc | 2210 Wilborn Ave, South Boston, VA 24592-1630 |
| Find all physicians in zip 24592 | |||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SOUTH BOSTON + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Suresh G Jayatilaka.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.