Individual provider Active NPI

Emmeline Cenizal Gasink, MD

  • Family Medicine Physician
  • Williamsburg, VA
National Provider Identifier
1558588798
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101239351 Issued in VA
Practice address
5700 Williamsburg Landing Dr
Williamsburg, VA 23185-3779
Phone
(757) 565-6525
Fax
(757) 565-6551
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101239351 VA Primary

Addresses

Primary practice location

5700 Williamsburg Landing Dr
Williamsburg, VA 23185-3779

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070621000363 VA Practitioner - Family Practice 7618076357 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101239351VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperbaric Physician Services LLC CurrentSince May 2, 2020 Accepting new patients
Hyperbaric Physician Services LLC Current Accepting new patients

Locations

11803 Jefferson Ave
#120
Newport News, VA 23606
Phone (757) 594-1060

Organizations & group practices 2

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1558588798",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 WILLIAMSBURG LANDING DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853779",
            "telephone_number": "757-565-6525",
            "fax_number": "757-565-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASINK",
        "first_name": "EMMELINE",
        "middle_name": "CENIZAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101239351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.