NPIMap

Organization Active NPI

Valley Gastroenterology of Southwest VA PC

  • Gastroenterology Physician
  • Salem, VA
National Provider Identifier
1619949898
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
VALLEY GASTROENTEROLOGY OF SOUTHWEST VA PC
Practice address
1906 Braeburn Dr
Valley Gastroenterology of Southwest VA PC
Salem, VA 24153-7304
Phone
(540) 776-6300
Fax
(540) 776-1103
NPI assigned
Feb 2, 2006
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Ms. Celeste Vinson
Title
Practice Manager
Phone
(540) 776-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1906 Braeburn Dr
Valley Gastroenterology of Southwest VA PC
Salem, VA 24153-7304

Mailing address

1906 Braeburn Dr.
Valley Gastroenterology of Southwest VA PC
Salem, VA 24153
Phone (540) 776-6300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1619949898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BRAEBURN DR.",
            "address_2": "VALLEY GASTROENTEROLOGY OF SOUTHWEST VA PC",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "24153",
            "telephone_number": "540-776-6300",
            "fax_number": "540-776-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BRAEBURN DR",
            "address_2": "VALLEY GASTROENTEROLOGY OF SOUTHWEST VA PC",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537304",
            "telephone_number": "540-776-6300",
            "fax_number": "540-776-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY GASTROENTEROLOGY OF SOUTHWEST VA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "540-776-6300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.