Organization Active NPI

Gastroenterology LTD

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1902862071
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
201628793 Issued in VA
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

Updated by the provider on Aug 30, 2021

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.