Active NPI
The Gastroenterology Center of Virginia, PLLC
- Ambulatory Surgical Clinic/Center
- Reston, VA
National Provider Identifier
1396771036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- THE GASTROENTEROLOGY CENTER OF VIRGINIA, PLLC
- Practice address
- 11440 Commerce Park Dr
Suite LL-4
Reston, VA 20191-1555 - Phone
- (703) 766-2600
- Fax
- (703) 766-2604
- NPI assigned
- Jun 24, 2006
- Last updated
- Mar 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. R. Allen Blosser, MD
- Title
- President
- Phone
- (703) 766-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
11440 Commerce Park Dr
Suite LL-4
Reston, VA 20191-1555
Mailing address
11440 Commerce Park Dr
Suite LL-4
Reston, VA 20191-1555
Phone (703) 766-2600
National Provider Directory
National Provider DirectoryLocations
11440 Commerce Park Dr
Ste LL4
Reston, VA 20191
Phone (703) 766-2600
1800 Alexander Bell Dr
Ste 515
Reston, VA 20191
Phone (703) 535-6640
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Gastroenterology Physician
- Fairfax, VA
- NPI 1720048630
-
- Physician Assistant
- Manassas, VA
- NPI 1598368292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614816000000",
"number": "1396771036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11440 COMMERCE PARK DR",
"address_2": "SUITE LL-4",
"city": "RESTON",
"state": "VA",
"postal_code": "201911555",
"telephone_number": "703-766-2600",
"fax_number": "703-766-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11440 COMMERCE PARK DR",
"address_2": "SUITE LL-4",
"city": "RESTON",
"state": "VA",
"postal_code": "201911555",
"telephone_number": "703-766-2600",
"fax_number": "703-766-2604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GASTROENTEROLOGY CENTER OF VIRGINIA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A",
"authorized_official_last_name": "BLOSSER",
"authorized_official_first_name": "R. ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-766-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
- The Austin-Weston Center for Cosmetic Surgery
- The Cardiovascular Group, PC (Virginia Heart)
- The Cardiovascular Group, PC (Virginia Heart)
- The Dorr Center, LLC
- The Fountain Group
- The Gastroenterology Group, P.C.
- The Home Care Team, Inc. (The Medical Team Personal Care Services)
- The Medical Team Inc
- The Medical Team, Inc
- The Medical Team, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.