| Gastroenterology Associates Of Tidewater | |
|
661 Independence Pkwy Ste 120 Chesapeake VA 23320-5164 | |
| (757) 547-0798 | |
| (757) 547-0145 |
| Full Name | Gastroenterology Associates Of Tidewater |
|---|---|
| Speciality | Internal Medicine |
| Location | 661 Independence Pkwy Ste 120, Chesapeake, Virginia |
| Authorized Official Name and Position | Alan J Gamsey (PRESIDENT) |
| Authorized Official Contact | 7575470798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of Tidewater 112 Gainsborough Sq Suite 200 Chesapeake VA 23320 Ph: (757) 547-0798 | Gastroenterology Associates Of Tidewater 661 Independence Pkwy Ste 120 Chesapeake VA 23320-5164 Ph: (757) 547-0798 |
| NPI Number | 1942300298 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 4284682899 |
|---|---|
| Medicare Enrollment ID | O20050111000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942300298 | NPI | - | NPPES |
| 159372 | Other | VA | ANTHEM GROUP # |
| 131381 | Other | VA | OPTIMA GROUP # |
| DC5759 | Other | GA | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101023966 (Virginia) | Primary |
| Provider Name | Franklin G Lundy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902827900 PECOS PAC ID: 5991792632 Enrollment ID: I20040426001910 |
| Provider Name | Aimee Marie Darling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316932411 PECOS PAC ID: 5698757367 Enrollment ID: I20040605000116 |
| Provider Name | Lester E Hilbert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649290420 PECOS PAC ID: 1254316052 Enrollment ID: I20040623001444 |
| Provider Name | Jean F Snyder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942296173 PECOS PAC ID: 1052376597 Enrollment ID: I20041130000070 |
| Provider Name | Alan Gamsey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043295348 PECOS PAC ID: 9436107943 Enrollment ID: I20050113000080 |
| Provider Name | Felix Tiongco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124005830 PECOS PAC ID: 9335197847 Enrollment ID: I20050113000105 |
| Provider Name | Walid Makdisi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518941137 PECOS PAC ID: 6608825088 Enrollment ID: I20050113000176 |
| Provider Name | Linda Ferro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174584734 PECOS PAC ID: 4789666256 Enrollment ID: I20050510000949 |
| Provider Name | Kathy Leslyn Holcombe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477722403 PECOS PAC ID: 3577633114 Enrollment ID: I20080609000322 |
| Provider Name | Brian M Sullivan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891767547 PECOS PAC ID: 3375615156 Enrollment ID: I20080710000763 |
| Provider Name | Dan Scott Albrecht |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972592137 PECOS PAC ID: 8224105622 Enrollment ID: I20080926000589 |
| Provider Name | Howard O Goodwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639318843 PECOS PAC ID: 9234286725 Enrollment ID: I20090421000309 |
| Provider Name | Dede Jennifer Hester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306174891 PECOS PAC ID: 6901936632 Enrollment ID: I20100607000712 |
| Provider Name | Cynthia A Gardiner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215922745 PECOS PAC ID: 0042271181 Enrollment ID: I20100609000373 |
| Provider Name | Shoba Mendu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952522161 PECOS PAC ID: 3870568884 Enrollment ID: I20101101000677 |
| Provider Name | Elizabeth J Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528034527 PECOS PAC ID: 7517856537 Enrollment ID: I20101210000844 |
| Provider Name | Patrick M Dandaneau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982905741 PECOS PAC ID: 8224219803 Enrollment ID: I20110302000569 |
| Provider Name | Lionel N Jacob |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689679342 PECOS PAC ID: 5092998625 Enrollment ID: I20110321000044 |
| Provider Name | Mei-chun Yuen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750680419 PECOS PAC ID: 9234315508 Enrollment ID: I20110523000013 |
| Provider Name | Tammy Lee Hartung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134286552 PECOS PAC ID: 6406857234 Enrollment ID: I20110831000779 |
| Provider Name | Jennifer Lyn Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437415502 PECOS PAC ID: 6608030606 Enrollment ID: I20120601000430 |
| Provider Name | Valerie Blitzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659646818 PECOS PAC ID: 5193989788 Enrollment ID: I20120611000714 |
| Provider Name | Pamela M Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093044463 PECOS PAC ID: 4486781820 Enrollment ID: I20120725001047 |
| Provider Name | Chantel Derise Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730529892 PECOS PAC ID: 5496989352 Enrollment ID: I20131008000783 |
| Provider Name | Rene Rivera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356537054 PECOS PAC ID: 5092800177 Enrollment ID: I20160405002346 |
| Provider Name | Jeremy Peter Domanski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083691356 PECOS PAC ID: 5597920553 Enrollment ID: I20160630001479 |
| Provider Name | Victoria Marade Goode |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457417925 PECOS PAC ID: 5597712687 Enrollment ID: I20170320001236 |
| Provider Name | Brandi M Alford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700444510 PECOS PAC ID: 5193151850 Enrollment ID: I20200129000965 |
| Provider Name | Janelle V Pickering |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962040600 PECOS PAC ID: 4385072990 Enrollment ID: I20221216000834 |
Orthovirginia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 667 Kingsborough Square, Suite 300, Chesapeake, VA 23320 Phone: 757-422-8476 Fax: 804-435-2172 | |
Convenient Care Of Tidewater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Gainsborough Sq, Suite 103, Chesapeake, VA 23320 Phone: 757-549-0222 | |
Sentara Family Medicine Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 633 Battlefield Blvd S, Suite 300, Chesapeake, VA 23322 Phone: 757-233-4700 Fax: 757-233-4716 | |
Ultimate Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1437 Sams Dr Ste 122, Chesapeake, VA 23320 Phone: 757-549-3668 | |
Deep Creek Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 Moses Grandy Trl, Suite D, Chesapeake, VA 23323 Phone: 757-485-3600 Fax: 757-485-9458 | |
Patient First - Battlefield Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 N. Battlefield Blvd, Chesapeake, VA 23320 Phone: 757-547-0688 | |
Primecare Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 676 Independence Pkwy Ste 110, Chesapeake, VA 23320 Phone: 757-372-4407 |