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GASTROENTEROLOGY LTD NPI 1902862071


NPI Information

NPI: 1902862071
Provider Name: GASTROENTEROLOGY LTD
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 49D0228856

Address:
1717 WILL O'WISP DRIVE
SUITE 200
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 481-4817
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GASTROENTEROLOGY LTD is a specialist in Virginia Beach, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GASTROENTEROLOGY LTD NPI is 1902862071. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1717 WILL O'WISP DRIVE
SUITE 200
VIRGINIA BEACH, VA
ZIP 23454-409
Phone: (757) 481-4817
Fax: (757) 481-7138

The provider's authorized official is Jan A Janson .
The authorized official title is Managing Partner and has the following contact phone number (757) 481-5730.

The CLIA number assigned to this NPI record is 49D0228856 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 8/30/2021.


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
1174400000XSpecialist201628793VIRGINIAYes

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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