Gastroenterology Associates of the Shenandoah Valley, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

17136 Issued in WV

Legal business name

GASTROENTEROLOGY ASSOCIATES OF THE SHENANDOAH VALLEY, INC

Practice address

2010 Doctor Oates Dr
Suite 103
Martinsburg, WV 25401-8896

Phone

(304) 263-8200

Fax

(304) 263-9242

NPI assigned

Mar 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David L Fishkin, MD

Title

President

Phone

(304) 263-8200

Specialties & licenses 1

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1013037555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 DOCTOR OATES DR",
            "address_2": "SUITE 103",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018896",
            "telephone_number": "304-263-8200",
            "fax_number": "304-263-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 DOCTOR OATES DR",
            "address_2": "SUITE 103",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018896",
            "telephone_number": "304-263-8200",
            "fax_number": "304-263-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF THE SHENANDOAH VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "FISHKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-263-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "17136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639297781",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6050031",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LINCENSE",
            "identifier": "D 45418",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LINCENSE",
            "identifier": "17136",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Gardner, DPM
• Kevin R Garneau, PA-C
• Frederick Kirby Garrett, TRANSPORTATION
• Garrison V. Morin Dba Mountain State ENT Center
• Keshia Lyn Gaskins, PTA
• Ellen Gavin, PT, DPT
• Pamela J Gavin, NP
• Diana Marilyn Gaviria, MD
• Shelly Ann Gayle
• Lillian Cecile Gebert, LCSW

• Specialist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.