GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA LLC NPI 1205884368

NPI Information

NPI: 1205884368
Provider Name: GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 49D2023173

Address:
3700 JOSEPH SIEWICK DR.
SUITE 308
FAIRFAX, VA
ZIP 22033
Phone: (703) 716-8700
Get Directions

GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC is a gastroenterology internal medicine in Fairfax, 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. GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC NPI is 1205884368. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3700 JOSEPH SIEWICK DR.
SUITE 308
FAIRFAX, VA
ZIP 22033-739
Phone: (703) 716-8700
Fax: (703) 716-8703

The provider's authorized official is Tonya Adams .
The authorized official title is Vice President and has the following contact phone number (703) 698-8960.

The CLIA number assigned to this NPI record is 49D2023173 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 12/20/2019.

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
1	207RG0100X	Internal Medicine	Gastroenterology			Yes
2	2080P0206X	Pediatrics	Pediatric Gastroenterology			No

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
1	7916	OTHER		CAREFIRST BCBS
2	3810003805	MEDICAID	VIRGINIA
3	CD8396	OTHER	VIRGINIA	RAILROAD MEDICARE
4	178704	OTHER	VIRGINIA	ANTHEM BCBS
5	104411	OTHER		KAISER

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: 4/28/2024

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