PENINSULA SURGICAL ASSOCIATES, INC.
NPI 1720159270
Specialist in Hampton, VA

Active since November 13, 2006
4000 COLISEUM DR, SUITE 200, HAMPTON, VA 23666(757) 827-2040(757) 827-2055 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peninsula Surgical Associates, Inc. NPPES

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

PENINSULA SURGICAL ASSOCIATES, INC. (NPI 1720159270) is a healthcare organization registered as a specialist in Hampton, Virginia and active in the NPI registry since November 2006. The organization lists David Leon Gore, President, as its authorized official.

NPPES Registry Identity

NPI1720159270
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePENINSULA SURGICAL ASSOCIATES, INC.
Location Address4000 COLISEUM DR, SUITE 200Hampton, VA 23666-5906
Mailing Address4000 Coliseum Dr, Suite 200Hampton, VA 23666-5906 · (757) 827-2040 · Fax (757) 827-2055
Fax(757) 827-2055
Organization SubpartNo
Authorized OfficialDavid Leon GorePresident · (757) 827-2040
Enumeration DateNovember 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1720159270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in VA · 0101036761
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4000 COLISEUM DR, Hampton, VA 23666

Other Identifiers 1

Medicaid7301511VA

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

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.

Internal Medicine
4000 COLISEUM DR, SUITE 350
HAMPTON, VA 23666
Urology
4000 COLISEUM DR, STE 300
HAMPTON, VA 23666
Psychiatry & Neurology (Neurology)
4000 COLISEUM DR, SUITE 200
HAMPTON, VA 23666
Nurse Practitioner (Obstetrics & Gynecology)
4000 COLISEUM DR, SUITE 280
HAMPTON, VA 23666
Physical Therapist
4000 COLISEUM DR, SUITE 100
HAMPTON, VA 23666
Orthopaedic Surgery
4000 COLISEUM DR, SUITE 100
HAMPTON, VA 23666
Internal Medicine
4000 COLISEUM DR, STE 350
HAMPTON, VA 23666
Internal Medicine
4000 COLISEUM DR, STE 445
HAMPTON, VA 23666

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 Surgical Associates, Inc.'s NPI number?

The NPI number for Peninsula Surgical Associates, Inc. is 1720159270. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Peninsula Surgical Associates, Inc. located?

Peninsula Surgical Associates, Inc. is located at 4000 Coliseum Dr Suite 200, Hampton, VA 23666. The listed phone number is (757) 827-2040.

What is Peninsula Surgical Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peninsula Surgical Associates, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.