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GERSHON PAIN SPECIALISTS LLC NPI 1871710798


NPI Information

NPI: 1871710798
Provider Name: GERSHON PAIN SPECIALISTS, LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 49D1100244

Address:
1133 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 496-2050
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GERSHON PAIN SPECIALISTS, LLC is a pain medicine physical medicine rehabilitation in Virginia Beach, VA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. GERSHON PAIN SPECIALISTS, LLC NPI is 1871710798. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1133 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23454-402
Phone: (757) 496-2050
Fax: (757) 689-4357

The provider's authorized official is Steven L Gershon .
The authorized official title is President and has the following contact phone number (757) 496-2050.

The CLIA number assigned to this NPI record is 49D1100244 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 6/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain Medicine0101048068VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1279949OTHERVIRGINIAANTHEM
21073541736MEDICAIDVIRGINIA
36668240001MEDICARE NSC
46668240001OTHERMEDICARE NSC
5C10193MEDICARE PINVIRGINIA

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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