Individual provider Active NPI

Laura P Gogia, MD

  • Gynecology Physician
  • Tappahannock, VA
National Provider Identifier
1467403972
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101239247 Issued in VA
Practice address
648 Hospital Rd
Suite B-305
Tappahannock, VA 22560-5000
Phone
(804) 443-6240
Fax
(804) 443-6244
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 0101239247 VA Primary

Addresses

Primary practice location

648 Hospital Rd
Suite B-305
Tappahannock, VA 22560-5000

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006

Other identifiers 1

IdentifierTypeStateIssuer
1467403972MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101239247VAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Gynecology Past Accepting new patients
Riverside Physician Services Inc Past Accepting new patients
Vcu Health Tappahannock Hospital Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1467403972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-594-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 HOSPITAL RD",
            "address_2": "SUITE B-305",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605000",
            "telephone_number": "804-443-6240",
            "fax_number": "804-443-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGIA",
        "first_name": "LAURA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101239247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467403972",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.