Organization Active NPI

Mid Atlantic Endoscopy PC

  • Gastroenterology Physician
  • Galax, VA
National Provider Identifier
1912969734
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101041026 Issued in VA
Legal business name
MID ATLANTIC ENDOSCOPY PC
Practice address
103 Doctors Park
Galax, VA 24333-2277
Phone
(276) 236-2947
NPI assigned
Apr 5, 2006
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Robert Benish
Title
President
Phone
(276) 236-2947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 0101041026 VA Primary

Addresses

Primary practice location

103 Doctors Park
Galax, VA 24333-2277

Mailing address

103 Doctors Park
Galax, VA 24333-2277
Phone (276) 236-2947

National Provider Directory

National Provider Directory

Locations

103 Doctors Park
Galax, VA 24333
Phone (276) 236-2947

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1912969734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DOCTORS PARK",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332277",
            "telephone_number": "276-236-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DOCTORS PARK",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332277",
            "telephone_number": "276-236-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC ENDOSCOPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "BENISH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-236-2947"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101041026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.