No VA Gastro Assoc LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

0640228 Issued in VA

Legal business name

NO VA GASTRO ASSOC LTD

Practice address

3301 Woodburn Road
Suite 107
Annandale, VA 22003-1297

Phone

(703) 876-0437

Fax

(703) 876-0722

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stafford S Goldstein, M.D.

Title

Senior Partner

Phone

(703) 876-0437

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1396770939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN ROAD",
            "address_2": "SUITE 107",
            "city": "ANNANDALE,",
            "state": "VA",
            "postal_code": "220031297",
            "telephone_number": "703-876-0437",
            "fax_number": "703-876-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN ROAD",
            "address_2": "SUITE 107",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031297",
            "telephone_number": "703-876-0437",
            "fax_number": "703-876-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NO VA GASTRO ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "STAFFORD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "703-876-0437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0640228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Annandale, VA
• Providers in Annandale, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.