Gastroenterology Associates PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY ASSOCIATES PLLC

Practice address

19500 Sandridge Way Ste 470
Leesburg, VA 20176-3694

Phone

(703) 771-9001

Fax

(703) 771-9076

NPI assigned

Sep 21, 2006

Last updated

Oct 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen J Antonik, MDNPI 1770567257

Title

President

Phone

(703) 771-9001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Locations

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.

• Stephen J Antonik, MD

  • Gastroenterology Physician
  • Leesburg, VA
  • NPI 1770567257

  DC

  Medicare reassignment NPD Authorized official
• Sanjeev Madanlal Wasan, MD

  • Gastroenterology Physician
  • Lansdowne, VA
  • NPI 1093813990
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1497853303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 SANDRIDGE WAY STE 470",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763694",
            "telephone_number": "703-771-9001",
            "fax_number": "703-771-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 SANDRIDGE WAY STE 470",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763694",
            "telephone_number": "703-771-9001",
            "fax_number": "703-771-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "ANTONIK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-771-9001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "203434",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garima K Talwar DDS. PLC
• Gail E Garner, LFMT,LPC
• Gary S Nelson DMD Inc
• Natalie Garza
• Cristin Anne Gasson, OTR
• Gastrointestinal Specialists LLC
• William Gatewood
• Raghav Gattani, MD
• Matthew Bernard Gavin, MD
• GDT LLC (Health Star Pharmacy)

• Gastroenterology Physician in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.