Active NPI
Gastroenterology LTD
- Specialist
- Virginia Beach, VA
National Provider Identifier
1902862071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 201628793
- Legal business name
- GASTROENTEROLOGY LTD
- Practice address
- 1717 Will O'Wisp Drive
Suite 200
Virginia Beach, VA 23454-2409 - Phone
- (757) 481-4817
- Fax
- (757) 481-7138
- NPI assigned
- Apr 26, 2006
- 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
- Jan A Janson, MD
- Title
- Managing Partner
- Phone
- (757) 481-5730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 201628793 | VA | Primary |
Addresses
Primary practice location
1717 Will O'Wisp Drive
Suite 200
Virginia Beach, VA 23454-2409
Mailing address
1717 Will O'Wisp Drive
Suite 200
Virginia Beach, VA 23454-2409
Phone (757) 481-4817
Other practice location 1
828 Healthy Way Ste 210
Virginia Beach, VA 23462-7958
Phone (757) 481-4817
National Provider Directory
National Provider DirectoryLocations
112 Gainsborough Sq
Ste 200
Chesapeake, VA 23320
Phone (757) 547-0798
112 Gainsborough Sq
Chesapeake, VA 23320
Phone (757) 312-8221
885 Kempsville Rd
Ste 110
Norfolk, VA 23502
1101 First Colonial Rd
Ste 400
Virginia Beach, VA 23454
Phone (757) 481-4817
828 Healthy Way
Ste 210210
Virginia Beach, VA 23462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630281600000",
"number": "1902862071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 WILL O'WISP DRIVE",
"address_2": "SUITE 200",
"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": "1717 WILL O'WISP DRIVE",
"address_2": "SUITE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542409",
"telephone_number": "757-481-4817",
"fax_number": "757-481-7138"
}
],
"practiceLocations": [
{
"address_1": "828 Healthy Way Ste 210",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234627958",
"country_code": "US",
"telephone_number": "757-481-4817",
"fax_number": "757-481-7138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GASTROENTEROLOGY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-26",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A",
"authorized_official_last_name": "JANSON",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "757-481-5730",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "201628793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.