| Capital Digestive Care ,llc | |
|
5839 Harbour View Blvd Suite 200 Suffolk VA 23435 | |
| (757) 483-6100 | |
| (757) 483-2203 |
| Full Name | Capital Digestive Care ,llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 5839 Harbour View Blvd, Suffolk, Virginia |
| Authorized Official Name and Position | Roderick Kreisberg (PRESIDENT & CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3013352899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Digestive Care ,llc 10770 Columbia Pike Ste 400 Silver Spring MD 20901-4462 Ph: (240) 485-5210 | Capital Digestive Care ,llc 5839 Harbour View Blvd Suite 200 Suffolk VA 23435 Ph: (757) 483-6100 |
| NPI Number | 1760541460 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760541460 | NPI | - | NPPES |
| 394397 | Other | ANTHEM HBV | |
| 541870984006 | Other | CHAMPUS | |
| C13214 | Other | RR GROUP | |
| 25098 | Other | SENTARA OPTIMA | |
| 314223 | Other | MAMSI OPT CHOICE | |
| 541870984 | Other | VA | HEALTH NETWORK |
| 005818281 | Other | FIRST HEALTH | |
| 110007207 | Other | TRAILBLAZERS | |
| 209381 | Other | ANTHEM OBICI | |
| 25106 | Other | SENTARA OPTIMA | |
| 209382 | Other | ANTHEM OBICI | |
| 005818290 | Other | FIRST HEALTH | |
| 110175152 | Other | TRAVELERS RR MEDICARE | |
| 100000219 | Other | TRAILBLAZERS | |
| 311323 | Other | MAMSI OPT CHOICE | |
| 394398 | Other | ANTHEM HBV | |
| 541870984028 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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