NPIMap

Organization Active NPI

Gastroenterology Consultants of

Doing business as Gastroenterology Consultants of Southwest Virginia

  • Gastroenterology Physician
  • Roanoke, VA
National Provider Identifier
1417993833
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY CONSULTANTS OF
Doing business as
Gastroenterology Consultants of Southwest Virginia
Practice address
202 Duke of Glouchester St
Roanoke, VA 24014
Phone
(540) 345-4900
Fax
(540) 345-4179
NPI assigned
Jun 22, 2006
Last updated
Aug 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Diane Lynn Allison
Title
Administrator
Phone
(540) 510-3324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

202 Duke of Glouchester St
Roanoke, VA 24014

Mailing address

202 Duke of Gloucester St SW
Roanoke, VA 24014-1372
Phone (540) 345-4900

Other names 1

  • Gastroenterology Consultants of Southwest Virginia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041026000086 VA Part B Supplier - Clinic/Group Practice 1951362607 Receives reassigned benefits from 25 practitioners
Practice locations: Roanoke, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0231462Gastroenterology Consultants of Southwest Virginia202 Duke of Gloucester Street, Roanoke, VA 24014Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

2012 Stephenson Ave SW
Roanoke, VA 24014
Phone (540) 345-4900

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1417993833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 DUKE OF GLOUCESTER ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141372",
            "telephone_number": "540-345-4900",
            "fax_number": "540-345-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 DUKE OF GLOUCHESTER ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-345-4900",
            "fax_number": "540-345-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS OF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-510-3324"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology Consultants of Southwest Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gastroenterology Consultants of Southwest Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.