Shenandoah Valley Gastroenterology Center, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0101234913 Issued in VA

Legal business name

SHENANDOAH VALLEY GASTROENTEROLOGY CENTER, PLLC

Practice address

1305 13TH St
Suite a-2
Waynesboro, VA 22980-3631

Phone

(540) 246-5515

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Javier Antonio Pou, M.D.NPI 1639181704

Title

Physician/Owner

Phone

(540) 246-5515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javier A Pou, MD

  • Internal Medicine Physician
  • Rockingham, VA
  • NPI 1639181704
  Medicare reassignment NPD Authorized official
• Hina Shafique Qureshi, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Charlottesville, VA
  • NPI 1568488286
  Medicare reassignment NPD

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1154618312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "PENN LAIRD",
            "state": "VA",
            "postal_code": "228460085",
            "telephone_number": "540-246-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 13TH ST",
            "address_2": "SUITE A-2",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803631",
            "telephone_number": "540-246-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH VALLEY GASTROENTEROLOGY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "POU",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "540-246-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101234913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Annette Shank, CERTIFIED DOULA
• Erica J Sheaves, PT, DPT
• Shenandoah Art Therapy, LLC
• Shenandoah Creative Counseling for Children and Adolescents
• Shenandoah Valley Counseling Center, LLC
• Rebecca Hea-Sun Shin, D.M.D.
• Charles Hunter Shomo II, NP
• Gerald R Showalter, PSY.D
• Kenneth Earle Showalter, PSY. D.
• Kerry Showalter, DPT, PT

• Gastroenterology Physician in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.