Alan P Ganderson, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0101019855 Issued in VA

Practice address

1101 First Colonial Rd
Suite 300
Virginia Beach, VA 23454-2409

Phone

(757) 481-2127

Fax

(757) 481-7138

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1669410213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 WINDSOR RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234513752",
            "telephone_number": "757-425-1114",
            "fax_number": "757-963-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FIRST COLONIAL RD",
            "address_2": "SUITE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542409",
            "telephone_number": "757-481-2127",
            "fax_number": "757-481-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDERSON",
        "first_name": "ALAN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101019855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010119341",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Gamble, PSY.D.
• Nahchina Gamble, PMHNP
• Kayla Gamboa
• Ani Gamil
• Lisa C Gander, CRNA
• Cecil V Gandia, PA
• Danielle Gange, NP-C
• Vivianne Hipol Gantous, DACM, LAC, DIPLOM,RN
• Angela Garcia, NP
• Bianca Garcia

• Gastroenterology Physician in Virginia Beach, VA
• Providers in Virginia Beach, 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 31, 2016; 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.