Gastroenterology Associates of Northern Virginia, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC

Practice address

3028 Javier Rd Ste 400
Fairfax, VA 22031-4622

Phone

(703) 698-8960

Fax

(703) 828-0961

NPI assigned

Sep 19, 2023

Organization subpart

Yes

Parent organization

GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLCAs reported in NPPES

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

Authorized official

Name

Alan Oliver

Title

Ceo

Phone

(786) 530-3820

Specialties & licenses 1

Addresses

Other names 1

• GANV Endoscopy Centers Other name

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

CLIA laboratory certificates

Tax ID family

Gastro Assoc of N VA LLC4 organizations share this tax ID, including this one

Part of

Gastro Assoc of N VA LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Gastroenterology Associates of Northern Virginia, LLC

  • Gastroenterology Physician
  • Fairfax, VA
  • NPI 1053096461
  NPD tax ID
• Gastroenterology Associates of Northern Virginia, LLC

  • Non-Pharmacy Dispensing Site
  • Fairfax, VA
  • NPI 1629758180
  NPD tax ID
• Gastroenteroloy Associates of Northern Virginia, LTD.

  • Specialist
  • Fairfax, VA
  • NPI 1568508414
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gastroenterology Associates of Northern Virginia, LLC

  • Gastroenterology Physician
  • Fairfax, VA
  • NPI 1205884368
  NPPES parent name

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1578341780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 JAVIER RD STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314622",
            "telephone_number": "703-698-8960",
            "fax_number": "703-828-0961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14010 Smoketown Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221924723",
            "country_code": "US",
            "telephone_number": "703-580-0181",
            "fax_number": "703-897-8763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1939 Roland Clarke Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201911445",
            "country_code": "US",
            "telephone_number": "703-766-2650",
            "fax_number": "703-782-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1139 E High St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229024849",
            "country_code": "US",
            "telephone_number": "434-817-8484",
            "fax_number": "434-817-8490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 Kenmore Ave Ste 810",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041300",
            "country_code": "US",
            "telephone_number": "703-823-0333",
            "fax_number": "703-823-8611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14904 Richmond Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913908",
            "country_code": "US",
            "telephone_number": "703-497-4222",
            "fax_number": "703-492-0164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3914 Centreville Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201513289",
            "country_code": "US",
            "telephone_number": "703-956-6831",
            "fax_number": "703-956-6811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Beauregard St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223111725",
            "country_code": "US",
            "telephone_number": "703-823-3750",
            "fax_number": "703-823-3766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8140 Ashton Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201095701",
            "country_code": "US",
            "telephone_number": "703-365-9085",
            "fax_number": "703-897-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-530-3820"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GANV Endoscopy Centers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GANV Endoscopy Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Greg E Gaski, MD
• Stephen Gassaway
• Gastro Virginia LLC
• Gastroenterology Associates of Northern Virginia, LLC
• Gastroenterology Associates of Northern Virginia, LLC
• Gastroenterology Associates of Northern Virginia, LLC
• Gastroenterology Consultants of Northern Virginia PLC
• Gastroenteroloy Associates of Northern Virginia, LTD.
• Gastrointestinal Medicine Associates
• Gastrointestinal Medicine Associates, PC

• Ambulatory Surgical Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.