| Gastrointestinal Specialists Inc | |
|
2369 Staples Mill Rd Suite 200 Richmond VA 23230-2918 | |
| (804) 285-4465 | |
| Not Available |
| Full Name | Gastrointestinal Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2369 Staples Mill Rd, Richmond, Virginia |
| Authorized Official Name and Position | P. Frederick Duckworth (MANAGING PHYSICIAN) |
| Authorized Official Contact | 8042858206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal Specialists Inc 2369 Staples Mill Rd Suite 200 Richmond VA 23230-2918 Ph: (804) 285-4465 | Gastrointestinal Specialists Inc 2369 Staples Mill Rd Suite 200 Richmond VA 23230-2918 Ph: (804) 285-4465 |
| NPI Number | 1063516672 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/09/2021 |
| Medicare PECOS PAC ID | 5294797957 |
|---|---|
| Medicare Enrollment ID | O20041103001190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063516672 | NPI | - | NPPES |
| Provider Name | Stephanie B Herndon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992797476 PECOS PAC ID: 7113969189 Enrollment ID: I20050531000956 |
| Provider Name | Souheil G Abou Assi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023004710 PECOS PAC ID: 0143255398 Enrollment ID: I20050927001134 |
| Provider Name | Rami Y Eid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144217050 PECOS PAC ID: 9133103377 Enrollment ID: I20051219000430 |
| Provider Name | Kelley Elizabeth Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699850032 PECOS PAC ID: 8123074077 Enrollment ID: I20100525000335 |
| Provider Name | Howard Kahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689662116 PECOS PAC ID: 0648304865 Enrollment ID: I20100810000513 |
| Provider Name | William William Brand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174511901 PECOS PAC ID: 7719011931 Enrollment ID: I20100810000535 |
| Provider Name | Paul Frederick Duckworth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013903723 PECOS PAC ID: 3173657392 Enrollment ID: I20100810000542 |
| Provider Name | Michael T Farrell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922095421 PECOS PAC ID: 5890829014 Enrollment ID: I20100810000554 |
| Provider Name | Stephen Clement |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750378618 PECOS PAC ID: 8325172406 Enrollment ID: I20100811000158 |
| Provider Name | Rufus C. Davis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649267501 PECOS PAC ID: 3375677040 Enrollment ID: I20100817000533 |
| Provider Name | Henry M Ellett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356337059 PECOS PAC ID: 3072647759 Enrollment ID: I20100817000719 |
| Provider Name | Louis G Gelrud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295721926 PECOS PAC ID: 0446282404 Enrollment ID: I20101004000455 |
| Provider Name | Ofer Feder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801882501 PECOS PAC ID: 6406041458 Enrollment ID: I20101116000673 |
| Provider Name | Jayant P Talreja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083821276 PECOS PAC ID: 8426234121 Enrollment ID: I20110513000398 |
| Provider Name | Andy Joseph Thanjan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306083696 PECOS PAC ID: 6103080189 Enrollment ID: I20120605000164 |
| Provider Name | Savita Srivastava |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790931558 PECOS PAC ID: 6406923853 Enrollment ID: I20130207000172 |
| Provider Name | Juan Diego Baltodano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861665945 PECOS PAC ID: 1759526114 Enrollment ID: I20130408000117 |
| Provider Name | Mandi Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700056553 PECOS PAC ID: 6103981303 Enrollment ID: I20140109001648 |
| Provider Name | Jonathan Patrick Gaspar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174744429 PECOS PAC ID: 4183843824 Enrollment ID: I20140911002011 |
| Provider Name | Ashley L Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245548718 PECOS PAC ID: 9234377516 Enrollment ID: I20150309002483 |
| Provider Name | Alex Seamon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467614578 PECOS PAC ID: 9133392806 Enrollment ID: I20150911002113 |
| Provider Name | Virginia Anne Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346613692 PECOS PAC ID: 7719280080 Enrollment ID: I20160120000710 |
| Provider Name | Ben Persons Bradenham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326350570 PECOS PAC ID: 0648572123 Enrollment ID: I20160922000010 |
| Provider Name | Vanessa P Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902348121 PECOS PAC ID: 3971885096 Enrollment ID: I20170126000137 |
| Provider Name | Omer Khalid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174565899 PECOS PAC ID: 7517972631 Enrollment ID: I20170210000532 |
| Provider Name | Heather A Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194262923 PECOS PAC ID: 6002192739 Enrollment ID: I20170413000318 |
| Provider Name | Jeffrey Lafond |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780973081 PECOS PAC ID: 3274762018 Enrollment ID: I20170711002925 |
| Provider Name | Molly M Sandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760835961 PECOS PAC ID: 5193006997 Enrollment ID: I20170828000428 |
| Provider Name | Mary Kathleen Engelken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104342872 PECOS PAC ID: 1254697329 Enrollment ID: I20171106000839 |
| Provider Name | Timothy Hartzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417400458 PECOS PAC ID: 8527322072 Enrollment ID: I20180509000122 |
| Provider Name | Courtney Grizzard Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285110726 PECOS PAC ID: 9931453123 Enrollment ID: I20181106001824 |
| Provider Name | Kayleigh Ann Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578063996 PECOS PAC ID: 5698039394 Enrollment ID: I20190805000292 |
| Provider Name | Christopher Lee Young |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568817336 PECOS PAC ID: 7315231628 Enrollment ID: I20191023000468 |
| Provider Name | Mohammad Bilal Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598183592 PECOS PAC ID: 4082985031 Enrollment ID: I20200610003502 |
| Provider Name | Hamza Khalid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063667608 PECOS PAC ID: 2668788902 Enrollment ID: I20200814001811 |
| Provider Name | Sarah Elizabeth Davalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326640665 PECOS PAC ID: 8820401144 Enrollment ID: I20210106000555 |
| Provider Name | Elizabeth A Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538760350 PECOS PAC ID: 3476960048 Enrollment ID: I20210326000527 |
| Provider Name | Ashley Brooke Van Lith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356936074 PECOS PAC ID: 3971911470 Enrollment ID: I20210422001142 |
| Provider Name | Hamza Walid Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558687111 PECOS PAC ID: 3173839792 Enrollment ID: I20210831003425 |
| Provider Name | Sara Marie Perran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013628536 PECOS PAC ID: 7416322680 Enrollment ID: I20230331002503 |
| Provider Name | Charlotte Hope Campbell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144752312 PECOS PAC ID: 0143580027 Enrollment ID: I20230824000274 |
| Provider Name | Adrianna Nottingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386332021 PECOS PAC ID: 6305294760 Enrollment ID: I20231122002499 |
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