Individual
DR. NEAL S GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1880 AMHERST STREET, SUITE 100 AND SUITE 200, WINCHESTER, VA 22601-2872
(540) 662-0306
(855) 264-2066
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
0101047289
VA
207RI0011X
Interventional Cardiology Physician
16632
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006048463
—
VA
05
—
0074126000
—
WV
01
—
030780
ANTHEM BCBS
VA
01
—
082425
SOUTHERN HEALTH
—
01
—
2119573
MAMSI
—
01
—
44242
COMMUNITYHEALTH SENTARA
—
01
—
502795
NCPPO
—
05
—
754451100
—
MD
01
—
9318661
MEDICARE GROUP
WV
01
—
C00075
MEDICARE GROUP
VA
Enumeration date
06/20/2005
Last updated
09/14/2021
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