Active NPI
Wythe Gastroenterlogy
- Gastroenterology Physician
- Wytheville, VA
National Provider Identifier
1962586974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- WYTHE GASTROENTERLOGY
- Practice address
- 590 W Ridge Rd
Suite E
Wytheville, VA 24382-1094 - Phone
- (276) 228-2383
- Fax
- (276) 228-5829
- NPI assigned
- Oct 25, 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
- Beth Taylor, MD
- Title
- President
- Phone
- (276) 228-2383
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
590 W Ridge Rd
Suite E
Wytheville, VA 24382-1094
Mailing address
590 W Ridge Rd
Suite E
Wytheville, VA 24382-1094
Phone (276) 228-2383
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248472 | Other | VA | BCBS OF VA |
| DF4627 | Other | VA | RAILROAD MEDICARE GROUP |
| C09998 | Other | VA | MEDICARE GROUP # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283817600000",
"number": "1962586974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 W RIDGE RD",
"address_2": "SUITE E",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821094",
"telephone_number": "276-228-2383",
"fax_number": "276-228-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 W RIDGE RD",
"address_2": "SUITE E",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821094",
"telephone_number": "276-228-2383",
"fax_number": "276-228-5829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYTHE GASTROENTERLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2010-09-07",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "276-228-2383",
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF VA",
"identifier": "248472",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DF4627",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "C09998",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wytheville, VA
- Wythe County Public Schools
- Wythe County Rescue Squad Inc
- Wythe Ear, Nose, & Throat, P.C.
- Wythe Eye Associates Amanda Brewer-Smith OD Inc
- Wythe Family Dentistry
- Wythe Medical Associates, Inc
- Wythe Physicians for Women, PLLC
- Wythe Surgical Associates, Inc
- Wythe Wellbeing, Emotional and Behavioral Health, LLC
- Wythe Wellness Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.