Kanawha Valley Gastroenterology Associates, Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

KANAWHA VALLEY GASTROENTEROLOGY ASSOCIATES, INC.

Practice address

4607 Maccorkle Ave SW Ste 406
South Charleston, WV 25309-1364

Phone

(304) 766-4342

Fax

(304) 766-3541

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl Ann Cox, MD

Title

Physician, Director, Secretary

Phone

(304) 766-4342

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Boyd Peterson, M.D.

  • Gastroenterology Physician
  • South Charleston, WV
  • NPI 1932201985
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1851473508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW STE 406",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-766-4342",
            "fax_number": "304-766-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW STE 406",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-766-4342",
            "fax_number": "304-766-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAWHA VALLEY GASTROENTEROLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN, DIRECTOR, SECRETARY",
        "authorized_official_telephone_number": "304-766-4342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003017",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "9353761",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Justus
• Ziad Kahwash, MD
• Kathy Kallmerten
• Kanawha Pathology Associates Inc
• Kanawha Urology Associates Inc
• Kanawha Valley Heart Specialists
• Kanawha Valley Radiologists Incorporated
• Rebecca Kanode
• Una M Karner, LPC
• Robin Karr

• Gastroenterology Physician in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Gastroenterology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.