Organization Active NPI

Tri-Cities Gastroenterology, PC

  • Gastroenterology Physician
  • Chester, VA
National Provider Identifier
1538128277
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TRI-CITIES GASTROENTEROLOGY, PC
Practice address
1714. E. Hundred Rd.
Suite 104
Chester, VA 23836-3310
Phone
(804) 681-0556
Fax
(804) 681-0553
NPI assigned
Mar 21, 2006
Last updated
Jul 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Gregory K Lemite, M.D.NPI 1528027224
Title
President
Phone
(804) 681-0556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1714. E. Hundred Rd.
Suite 104
Chester, VA 23836-3310

Mailing address

1714 E Hundred Rd.
Suite 104
Chester, VA 23836-3310
Phone (804) 681-0556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040409000449 VA Part B Supplier - Clinic/Group Practice 1052305422 Receives reassigned benefits from 2 practitioners
Practice locations: Chester, 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
49D1041457Tri-Cities Gastroenterology, PC1714 East Hundred Road - Suite 104, Chester, VA 23836Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Locations

34 Medical Park Blvd
Ste A
Petersburg, VA 23805
Phone (804) 609-0175

4000 Glenside Dr
Richmond, VA 23228
Phone (804) 681-0556

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1538128277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 E HUNDRED RD.",
            "address_2": "SUITE 104",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363310",
            "telephone_number": "804-681-0556",
            "fax_number": "804-681-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714. E. HUNDRED RD.",
            "address_2": "SUITE 104",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363310",
            "telephone_number": "804-681-0556",
            "fax_number": "804-681-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "LEMITE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-681-0556",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.