PENINSULA GASTROENTEROLOGY, PC – NPI #1174527444
Internal Medicine

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 is a provider located in NEWPORT NEWS, VA. NPPES has assigned the NPI number 1174527444 to PENINSULA GASTROENTEROLOGY, PC on June 02, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENINSULA GASTROENTEROLOGY, PC below.

NPI Profile for
PENINSULA GASTROENTEROLOGY, PC

NPI Number
1174527444
Enumeration Date

(more than 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENINSULA GASTROENTEROLOGY, PC
Primary location
101 PHILIP ROTH ST
NEWPORT NEWS, VA 23606-1393
Phone: (757) 599-6333 Fax: (757) 599-9425
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERNEST BUXTON
PRESIDENT
Phone: (757) 599-6333
Updated
Identifiers

Identifiers for PENINSULA GASTROENTEROLOGY, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNA4489483
OTHERANTHEM002373
OTHERMEDICARE RAILROADCM2099
OTHEROPTIMAHEALTH550054
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
VA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.