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MOUNTAINEER GASTROENTEROLOGY INC NPI 1619164365


NPI Information

NPI: 1619164365
Provider Name: MOUNTAINEER GASTROENTEROLOGY INC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1100 CEDAR VALLEY DR,
CEDAR BLUFF, VA
ZIP 24609
Phone: (276) 596-9980
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MOUNTAINEER GASTROENTEROLOGY INC is a gastroenterology internal medicine in Cedar Bluff, 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. MOUNTAINEER GASTROENTEROLOGY INC NPI is 1619164365. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1100 CEDAR VALLEY DR,
CEDAR BLUFF, VA
ZIP 24609
Phone: (276) 596-9980
Fax: (276) 596-9981

The provider's authorized official is Thomas B Cortellesi .
The authorized official title is Owner/president and has the following contact phone number (276) 596-9980.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 9/21/2010.


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 MedicineGastroenterology1732WEST VIRGINIANo
2207RG0100XInternal MedicineGastroenterology0102037199VIRGINIAYes

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: 5/5/2024

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