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Contact Information

CAPITAL DIGESTIVE CARE ,LLC
5839 HARBOUR VIEW BLVD
SUITE 200
SUFFOLK, VA23435
 Phone: 757-483-6100
 Fax: 757-483-2203
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for CAPITAL DIGESTIVE CARE ,LLC

NPI # 1760541460
LBN Legal business name CAPITAL DIGESTIVE CARE ,LLC
Authorized official TIMOTHY SHORT - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/08/2006
Last updated 08/26/2025 - About 9 months ago
Identifiers
Other 394397 ANTHEM HBV
Other 394398 ANTHEM HBV
Other 209381 ANTHEM OBICI
Other 209382 ANTHEM OBICI
Other 541870984006 CHAMPUS
Other 541870984028 CIGNA
Other 005818281 FIRST HEALTH
Other 005818290 FIRST HEALTH
Other 311323 MAMSI OPT CHOICE
Other 314223 MAMSI OPT CHOICE
Other C13214 RR GROUP
Other 25098 SENTARA OPTIMA
Other 25106 SENTARA OPTIMA
Other 100000219 TRAILBLAZERS
Other 110007207 TRAILBLAZERS
Other 110175152 TRAVELERS RR MEDICARE
VA Other 541870984 HEALTH NETWORK
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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