Peninsula Gastroenterology, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PENINSULA GASTROENTEROLOGY, PC

Practice address

101 Philip Roth St
Newport News, VA 23606-1393

Phone

(757) 599-6333

Fax

(757) 599-9425

NPI assigned

Jun 2, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Ernest Perry Buxton III, MD

Title

President

Phone

(757) 599-6333

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John William Boyd, MD

  • Gastroenterology Physician
  • Newport News, VA
  • NPI 1477558229
  NPD (past)
• Shannon Leigh Dishman, FNP

  • Family Nurse Practitioner
  • Williamsburg, VA
  • NPI 1396204319
  NPD (past)
• Brittany Erin Fields, PA

  • Medical Physician Assistant
  • Newport News, VA
  • NPI 1831401694
  NPD (past)
• Frederick Martin Gessner, MD

  • Gastroenterology Physician
  • Newport News, VA
  • NPI 1255335519
  NPD (past)
• William Andrew Hackworth, MD

  • Gastroenterology Physician
  • Newport News, VA
  • NPI 1467669721
  NPD (past)
• Richard J Hartle, MD

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1376556050
  NPD (past)
• Ashutosh Subhash Naniwadekar, MBBS

  • Gastroenterology Physician
  • Newport News, VA
  • NPI 1033313614
  NPD (past)
• Pamela Gregory Priest, NP

  • Family Nurse Practitioner
  • Newport News, VA
  • NPI 1538143201
  NPD (past)
• John Robert Stephens, MD

  • Gastroenterology Physician
  • Newport News, VA
  • NPI 1992709257
  NPD (past)
• Mark Andrew Titus, MD

  • Gastroenterology Physician
  • Newport News, VA
  • NPI 1942204219
  NPD (past)
• Ray Lester James Jr., MD

  • Gastroenterology Physician
  • Rockwood, TN
  • NPI 1265436521
  NPD (past)
• Crystal Nicole Mann, P.A.

  • Physician Assistant
  • Washington, DC
  • NPI 1114988854
  NPD (past)

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174527444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PHILIP ROTH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061393",
            "telephone_number": "757-599-6333",
            "fax_number": "757-599-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHILIP ROTH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061393",
            "telephone_number": "757-599-6333",
            "fax_number": "757-599-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUXTON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-599-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "002373",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMAHEALTH",
            "identifier": "550054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CM2099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4489483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninsula Cancer Institute, LLC
• Peninsula Community Solutions
• Peninsula Counseling Center of Virginia, LLC
• Peninsula Dermatology Skin Cancer Surgery Center, Inc (Dermatology Specialists)
• Peninsula Family Dentistry
• Peninsula Hand Therapy PLLC
• Peninsula Health Center Pharmacy
• Peninsula Home Care LLC
• Peninsula Institute for Community Health (Pharmacy Care of Hampton Roads)
• Peninsula Institute for Community Health Inc

• Gastroenterology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.