MEDICARE: GASTROINTESTINAL SPECIALISTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085R0204X	Vascular & Interventional Radiology Physician
2	225100000X	Physical Therapist
3	208800000X	Urology Physician
4	363L00000X	Nurse Practitioner
5	367500000X	Certified Registered Nurse Anesthetist
6	363A00000X	Physician Assistant
7	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1063516672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GASTROINTESTINAL SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	2369 STAPLES MILL RD STE 200
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-2918
Country	:	US
Telephone Number	:	804-285-4465
Fax Number	:

Provider Business Practice Location Address
First Line	:	2369 STAPLES MILL RD
Second Line	:	SUITE 200
City	:	RICHMOND
State	:	VA
Zip	:	23230-2918
Country	:	US
Telephone Number	:	804-285-4465
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	JAMES J WEBER
Credential	:	MD
Telephone Number	:	214-424-2200

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	03/13/2026

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