Organization
CAPITAL DIGESTIVE CARE ,LLC
Active
Organization
CAPITAL DIGESTIVE CARE ,LLC
Active
Parent organization
CAPITAL DIGESTIVE CARE, LLC - GLST
Other names
GASTROINTESTINAL & LIVER SPECIALIST OF TIDEWATER PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITAL DIGESTIVE CARE, LLC - GLST
Authorized official
TIMOTHY SHORT (CEO)
(757) 803-6483
Entity
Organization
Contact information
Practice address
5839 HARBOUR VIEW BLVD, SUITE 200, SUFFOLK, VA 23435
(757) 483-6100
(757) 483-2203
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
—
005818281
FIRST HEALTH
—
01
—
005818290
FIRST HEALTH
—
01
—
100000219
TRAILBLAZERS
—
01
—
110007207
TRAILBLAZERS
—
01
—
110175152
TRAVELERS RR MEDICARE
—
01
—
209381
ANTHEM OBICI
—
01
—
209382
ANTHEM OBICI
—
01
—
25098
SENTARA OPTIMA
—
01
—
25106
SENTARA OPTIMA
—
01
—
311323
MAMSI OPT CHOICE
—
01
—
314223
MAMSI OPT CHOICE
—
01
—
394397
ANTHEM HBV
—
01
—
394398
ANTHEM HBV
—
01
—
541870984
HEALTH NETWORK
VA
01
—
541870984006
CHAMPUS
—
01
—
541870984028
CIGNA
—
01
—
C13214
RR GROUP
—
Enumeration date
12/08/2006
Last updated
08/26/2025
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