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Contact Information

GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
3700 JOSEPH SIEWICK DR.
SUITE 308
FAIRFAX, VA22033-1739
 Phone: 703-716-8700
 Fax: 703-716-8703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC

NPI # 1205884368
LBN Legal business name GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
Authorized official ALAN OLIVER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2006
Last updated 05/15/2025 - More than a year ago
Identifiers
VA Medicaid 3810003805
Other 7916 CAREFIRST BCBS
Other 104411 KAISER
VA Other 178704 ANTHEM BCBS
VA Other CD8396 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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