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PENINSULA GASTROENTEROLOGY, PC
NPI 1174527444
Internal Medicine - Gastroenterology in Newport News, VA

Active since June 02, 2005CLIA 49D0700418 · Waiver
101 PHILIP ROTH ST, NEWPORT NEWS, VA 23606(757) 599-6333(757) 599-9425 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Peninsula Gastroenterology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA GASTROENTEROLOGY, PC (NPI 1174527444) is a healthcare organization registered as a gastroenterology in Newport News, Virginia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ernest Perry Buxton, President, as its authorized official.

NPPES Registry Identity

NPI1174527444
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePENINSULA GASTROENTEROLOGY, PC
Location Address101 PHILIP ROTH STNewport News, VA 23606-1393
Mailing Address101 Philip Roth StNewport News, VA 23606-1393 · (757) 599-6333 · Fax (757) 599-9425
Phone(757) 599-6333
Fax(757) 599-9425
Organization SubpartNo
Authorized OfficialErnest Perry BuxtonPresident · (757) 599-6333
Enumeration DateJune 2, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1174527444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
101 PHILIP ROTH ST, Newport News, VA 23606
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Other Identifiers 4

Other4489483Aetna
Other002373Anthem
OtherCM2099Medicare Railroad
Other550054Optimahealth

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0700418

Riverside Hospital, Inc Dba Peninsula Gastroenterology/Riverside Endoscopy Center · Newport News, VA
Active · expires Aug 31, 2026
CLIA Number49D0700418
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael Schwartz, MD
Laboratory Phone(757) 599-6333
Laboratory LocationRiverside Hospital, Inc Dba Peninsula Gastroenterology/Riverside Endoscopy Center101 Philip Roth Street - Suite 5B, Newport News, VA 23606
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY ROBERT LEE RN, BSN, MSN, FNP-BC
Nurse Practitioner (Family)
101 PHILIP ROTH ST
NEWPORT NEWS, VA 23606
Newport News City (757) 599-6333
VERA DOVIRAK PA
Physician Assistant
101 PHILIP ROTH ST
NEWPORT NEWS, VA 23606
Newport News City (757) 599-6333
RIVERSIDE PHYSICIAN SERVICES INC
Internal Medicine (Gastroenterology)
101 PHILIP ROTH ST, SUITE 5-A
NEWPORT NEWS, VA 23606
Newport News City (757) 599-6333
FREDERICK MARTIN GESSNER MD
Internal Medicine (Gastroenterology)
101 PHILIP ROTH ST, SUITE 5A
NEWPORT NEWS, VA 23606
Newport News City (757) 599-6333
JAMILA WYNTER
Internal Medicine (Gastroenterology)
101 PHILIP ROTH ST
NEWPORT NEWS, VA 23606
Newport News City (757) 599-6333
DR. MICHAEL NEY MD
Internal Medicine (Gastroenterology)
101 PHILIP ROTH ST
NEWPORT NEWS, VA 23606
Newport News City (757) 599-6333
MS. ANNE KENNEDY NP
Nurse Practitioner (Family)
101 PHILIP ROTH ST
NEWPORT NEWS, VA 23606
Newport News City (757) 599-6333
DR. RAFAYAT SAMNAN HOSSAIN M.D.
Internal Medicine (Gastroenterology)
101 PHILIP ROTH ST
NEWPORT NEWS, VA 23606
Newport News City (757) 599-6333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Gastroenterology, PC's NPI number?

The NPI number for Peninsula Gastroenterology, PC is 1174527444. It was assigned to this organization in the NPPES registry on June 2, 2005.

Where is Peninsula Gastroenterology, PC located?

Peninsula Gastroenterology, PC is located at 101 Philip Roth St, Newport News, VA 23606. The listed phone number is (757) 599-6333.

What is Peninsula Gastroenterology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Peninsula Gastroenterology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0700418) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peninsula Gastroenterology, PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.