Organization Active NPI

Wythe Gastroenterlogy

  • Gastroenterology Physician
  • Wytheville, VA
National Provider Identifier
1962586974
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
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

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Beth Taylor, MDNPI 1699735720
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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
248472OtherVABCBS OF VA
DF4627OtherVARAILROAD MEDICARE GROUP
C09998OtherVAMEDICARE GROUP #

National Provider Directory

National Provider Directory

Practitioners & 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

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.

Verify at the official NPI Registry.