COMMONWEALTH GASTROENTEROLOGY, PLC (NPI# 1003188483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003188483 |
Entity Type | Organization |
Organization Name | COMMONWEALTH GASTROENTEROLOGY, PLC |
Practice Address |
4229 Lafayette Center Dr #1000 Chantilly VA 20151-1261 |
Mailing Address |
4001 Fair Ridge Dr #201 Fairfax VA 22033-2917 |
Practice Telephone | 7032620200 |
Enumeration Date | 2012-02-01 |
Last Update Date | 2012-02-01 |
Authorized Official Name | LANCE LASNER (OWNER) |
Authorized Official Telephone | 7032620200 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
Street Address |
4229 LAFAYETTE CENTER DR #1000 |
City | CHANTILLY |
State | VA |
Zip Code | 20151-1261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104812700 | Prasad Rekulapelli | Pediatrics | 4229 Lafayette Center Dr, Suite 1425, Chantilly, VA 20151-1261 | 2005-09-20 |
1033534599 | Shannon Lee | Social Worker | 4229 Lafayette Center Dr, Suite 1200, Chantilly, VA 20151-1261 | 2014-02-20 |
1982028213 | Atcap Home Health Care Services,llc | Assisted Living Facility | 4229 Lafayette Center Dr, Chantilly, VA 20151-1261 | 2014-02-06 |
1841628138 | Fannypants LLC | Durable Medical Equipment & Medical Supplies | 4229 Lafayette Center Dr, Suite 1150, Chantilly, VA 20151-1261 | 2013-10-23 |
1427328418 | Elizabeth Mahoney | Social Worker | 4229 Lafayette Center Dr, Suite 1200, Chantilly, VA 20151-1261 | 2012-01-06 |
1083982839 | Sean Mccumiskey | Physical Therapy Assistant | 4229 Lafayette Center Dr, 1250, Chantilly, VA 20151-1261 | 2011-12-08 |
1851695878 | Kathryn Mary Kramer | Social Worker | 4229 Lafayette Center Dr, 1200, Chantilly, VA 20151-1261 | 2011-01-05 |
1144453606 | Modi & Associates P.C. | Obstetrics & Gynecology | 4229 Lafayette Center Dr, Suite 1000, Chantilly, VA 20151-1261 | 2009-09-01 |
1578704797 | Lafayette Family Dentistry, Pllc | Dentist | 4229 Lafayette Center Dr, #1225, Chantilly, VA 20151-1261 | 2009-03-18 |
1710162029 | Lena Margareta Mikulak | Nurse Practitioner | 4229 Lafayette Center Dr, Suite 1000, Chantilly, VA 20151-1261 | 2008-01-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
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Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891338745 | Gastrointestinal and Liver Specialists of Tidewater Pllc | Internal Medicine | 1101 First Colonial Rd Ste 400, Virginia Beach, VA 23454-2409 | 2019-10-23 |
1811544240 | Zhenxia Na Shuai | Internal Medicine | 44055 Riverside Pkwy Ste 220, Leesburg, VA 20176-5177 | 2019-08-21 |
1932763786 | Stonesprings Gastroenterology Pllc | Internal Medicine | 24430 Stone Springs Blvd Ste 200, Dulles, VA 20166-2267 | 2019-04-26 |
1013439835 | Maryview Hospital | Internal Medicine | 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602-4414 | 2017-07-13 |
1851741912 | Alkimawi Medical Incorporated | Internal Medicine | 4209 Dale Blvd, Woodbridge, VA 22193-2243 | 2016-06-20 |
1750739009 | Omer Shahab | Internal Medicine | Vcuhs Dept of Medicine Gastroenterology 980257, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-05-27 |
1962842583 | Patty Tian Wang | Internal Medicine | 1717 Will O'wisp Drive, Suite 200, Virginia Beach, VA 23454 | 2013-06-27 |
1578858155 | Mohammad Shadab Siddiqui | Internal Medicine | 1200 E. Broad Street, West Hospital, 14th Floor, Richmond, VA 23298 | 2011-06-13 |
1154637056 | Mohammed Albugeaey | Internal Medicine | 190 Campus Blvd Ste 300, Winchester, VA 22601-2872 | 2010-08-30 |
1326350570 | Ben Persons Bradenham Jr. | Internal Medicine | 7611 Forest Ave Ste 410, Richmond, VA 23229-4946 | 2010-07-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.