Active NPI
Gastrointestinal and Liver Specialists of Tidewater PLLC
- Gastroenterology Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER PLLC
- Practice address
- 1101 First Colonial Rd Ste 400
Virginia Beach, VA 23454-2409 - Phone
- (757) 481-4817
- Fax
- (757) 481-7138
- NPI assigned
- Oct 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gladys Arlene Davies
- Title
- Administrator
- Phone
- (757) 464-1644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1101 First Colonial Rd Ste 400
Virginia Beach, VA 23454-2409
Mailing address
1101 First Colonial Rd Ste 400
Virginia Beach, VA 23454-2409
Phone (757) 481-4817
Other names 2
- Gastroenterology, Ltd
- Gastroenterology, Ltd.
National Provider Directory
National Provider DirectoryLocations
113 Gainsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 436-3285
400 Gresham Dr
Ste 303
Norfolk, VA 23507
Phone (757) 627-3709
3640 High St
Ste 2G
Portsmouth, VA 23707
Phone (757) 483-6100
5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100
5320 Providence Rd
Ste 204
Virginia Beach, VA 23464
Phone (757) 523-9755
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1316044035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1891338745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 FIRST COLONIAL RD STE 400",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542409",
"telephone_number": "757-481-4817",
"fax_number": "757-481-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 FIRST COLONIAL RD STE 400",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542409",
"telephone_number": "757-481-4817",
"fax_number": "757-481-7138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A",
"authorized_official_last_name": "DAVIES",
"authorized_official_first_name": "GLADYS",
"authorized_official_middle_name": "ARLENE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "757-464-1644"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gastroenterology, Ltd",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gastroenterology, Ltd.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.