Organization
CAPITAL DIGESTIVE CARE LLC
Active
Parent organization
CAPITAL DIGESTIVE CARE, LLC- CHESAPEAKE
Other names
Gastrointestinal and Liver Specialists of Tidewater, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITAL DIGESTIVE CARE, LLC- CHESAPEAKE
Authorized official
TIMOTHY M SHORT (CEO)
(757) 803-6483
Entity
Organization
Contact information
Practice address
113 GAINSBOROUGH SQ STE 101, CHESAPEAKE, VA 23320-1713
(757) 627-6416
(757) 627-3709
Mailing address
10770 COLUMBIA PIKE STE 400, SILVER SPRING, MD 20901-4462
(240) 485-5210
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB6628
MEDICARE RAILROAD GROUP
—
01
—
DB9871
MEDICARE RAILROAD GROUP
—
Enumeration date
05/18/2007
Last updated
08/26/2025
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