Commonwealth Gastroenterology, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

COMMONWEALTH GASTROENTEROLOGY, PC

Practice address

4000A Glenside Dr
Henrico, VA 23228-4102

Phone

(804) 716-6318

Fax

(804) 801-5187

NPI assigned

Aug 12, 2022

Last updated

Aug 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Dalton

Title

Credentialing

Phone

(757) 870-6595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

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.

• Scott David Woogen, M.D.

  • Gastroenterology Physician
  • Fishersville, VA
  • NPI 1215939251
  Medicare reassignment NPD

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1699403063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N 26TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235211",
            "telephone_number": "757-870-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000A GLENSIDE DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232284102",
            "telephone_number": "804-716-6318",
            "fax_number": "804-801-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "757-870-6595"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Common Health Counseling Group, LLC
• Common Health Counseling Group, LLC (Common Health Counseling Group DD)
• Commonshare, Inc
• Commonwealth Behavioral Health Services
• Commonwealth Eye Care Associates PC
• Commonwealth of Virginia State Board of Health (Henrico County Health Department West)
• Commonwealth of Virginia State Board of Health (Henrico Health Department - East)
• Commonwealth Pain Management and Wellness, PLLC
• Community Assistance Network, LLC
• Companions

• Gastroenterology Physician in Henrico, VA
• Providers in Henrico, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.