PENINSULA GASTROENTEROLOGY PC NPI 1174527444

NPI Information

  • NPI: 1174527444
  • Provider Name: PENINSULA GASTROENTEROLOGY, PC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 101 PHILIP ROTH ST
    NEWPORT NEWS, VA
    ZIP 23606
  • Phone: (757) 599-6333

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NPI Details

PENINSULA GASTROENTEROLOGY, PC is a gastroenterology internal medicine in Newport News, VA. The provider is 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. PENINSULA GASTROENTEROLOGY, PC NPI is 1174527444. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 PHILIP ROTH ST
NEWPORT NEWS, VA
ZIP 23606-393
Phone: (757) 599-6333
Fax: (757) 599-9425

The provider's authorized official is Ernest Perry Buxton .
The authorized official title is President and has the following contact phone number (757) 599-6333.

The enumeration date for this NPI number is 6/2/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14489483OTHERAETNA
2002373OTHERANTHEM
3CM2099OTHERMEDICARE RAILROAD
4550054OTHEROPTIMAHEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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