Unknown Individual – Gastroenterology Physician, NPI 1477504603
Gastroenterology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1211, Rodman Avenue, Waterview Colonial Manor, Westhaven, Portsmouth, Virginia, 23707, United States
PORTSMOUTH, VA 237073915
Phone: (757) 397-2493
Fax: (757) 397-7189
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23707)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Preventive Medicine | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA |
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