THE GASTROENTEROLOGY GROUP, P.C. (NPI# 1548358831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548358831 |
| Entity Type | Organization |
| Organization Name | THE GASTROENTEROLOGY GROUP, P.C. |
| Practice Address |
11440 Commerce Park Dr Ll4 Reston VA 20191-1555 |
| Practice Telephone | 7037662650 |
| Practice Fax Number | 7037662654 |
| Mailing Telephone | 7037662650 |
| Mailing Fax Number | 7037662654 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-12-26 |
| Authorized Official Name | MRS. PATRICIA DARLENE GLENN (OFFICE MANAGER) |
| Authorized Official Telephone | 7037662650 |
| 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 |
11440 COMMERCE PARK DR LL4 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215993068 | Anita Wolke | Internal Medicine | 11440 Commerce Park Dr, Ll4, Reston, VA 20191-1555 | 2006-04-21 |
| 1710269451 | Somnus, LLC | Specialist | 11440 Commerce Park Dr, Suite Ll4, Reston, VA 20191-1544 | 2011-09-19 |
| 1063628683 | Judy Ellen Caplan | Dietitian, Registered | 11440 Commerce Park Dr, Suite Ll1a, Reston, VA 20191-1555 | 2007-05-14 |
| 1871503599 | Shilen V. Lakhani | Internal Medicine | 11440 Commerce Park Dr, Ll-4, Reston, VA 20191-1555 | 2006-08-08 |
| 1396771036 | The Gastroenterology Center of Virginia, Pllc | Internal Medicine | 11440 Commerce Park Dr, Suite Ll-4, Reston, VA 20191-1555 | 2006-06-24 |
| 1295791176 | Eduardo Christian Noguera | Internal Medicine | 11440 Commerce Park Dr, Ll4, Reston, VA 20191-1555 | 2006-04-21 |
| 1114983004 | Alan J Plotner | Internal Medicine | 11440 Commerce Park Dr, Ll4, Reston, VA 20191-1555 | 2006-04-21 |
| 1497711238 | Emil Frank Valle | Internal Medicine | 11440 Commerce Park Dr, Ll4, Reston, VA 20191-1555 | 2006-04-21 |
| 1073579876 | Andrew Axelrad | Internal Medicine | 11440 Commerce Park Dr, Ll4, Reston, VA 20191-1555 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| 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 |
|---|---|---|---|---|
| 1588848089 | Minal Patel | Internal Medicine | 1939 Roland Clarke Pl Ste 200, Reston, VA 20191-1445 | 2007-12-20 |
| 1215993068 | Anita Wolke | Internal Medicine | 11440 Commerce Park Dr, Ll4, Reston, VA 20191-1555 | 2006-04-21 |
| 1396771036 | The Gastroenterology Center of Virginia, Pllc | Internal Medicine | 11440 Commerce Park Dr, Suite Ll-4, Reston, VA 20191-1555 | 2006-06-24 |
| 1295791176 | Eduardo Christian Noguera | Internal Medicine | 11440 Commerce Park Dr, Ll4, Reston, VA 20191-1555 | 2006-04-21 |
| 1114983004 | Alan J Plotner | Internal Medicine | 11440 Commerce Park Dr, Ll4, Reston, VA 20191-1555 | 2006-04-21 |
| 1497711238 | Emil Frank Valle | Internal Medicine | 11440 Commerce Park Dr, Ll4, Reston, VA 20191-1555 | 2006-04-21 |
| 1073579876 | Andrew Axelrad | Internal Medicine | 11440 Commerce Park Dr, Ll4, Reston, VA 20191-1555 | 2006-04-21 |
| 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.