Peninsula Surgical Associates, Inc.
Peninsula Surgical Associates, Inc. is a healthcare organization registered as Specialist in Hampton, VA, holding Type 2 (organization) NPI 1720159270 since 2006. The authorized official on file is David Gore, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720159270 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Peninsula Surgical Associates, Inc. |
| Practice address | 4000 COLISEUM DR, SUITE 200, Hampton, VA, 23666 |
| Phone | 7578272040 |
| Fax | 7578272055 |
| Enumeration date | 2006-11-13 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | David Gore |
|---|---|
| Title | President |
| Phone | 7578272040 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | 0101036761 | VA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301511 | Medicaid | VA | — |
Copy-ready billing details
Provider: Peninsula Surgical Associates, Inc. NPI: 1720159270 Taxonomy: 174400000X (Specialist) Address: 4000 COLISEUM DR, SUITE 200, Hampton, VA, 23666
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205834157 | Arthur Greene | Individual | Orthopaedic Surgery Physician | Hampton, VA |
| 1548261787 | Martha Boulos | Individual | Neurology Physician | Hampton, VA |
| 1326026451 | Kevin Sanders | Individual | Urology Physician | Hampton, VA |
| 1780659896 | Lynn Dahl | Individual | Pain Medicine Physician | Hampton, VA |
| 1225004864 | Jason Combs | Individual | Internal Medicine Physician | Hampton, VA |
| 1578531513 | Michael Mccullen | Individual | Internal Medicine Physician | Hampton, VA |
| 1679530703 | Derrick Ridley | Individual | Specialist | Hampton, VA |
| 1083659007 | John Lasater | Individual | Urology Physician | Hampton, VA |
Verify this record
Cross-check NPI 1720159270 against the authoritative CMS record: view Peninsula Surgical Associates, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Peninsula Surgical Associates, Inc.?
Who is the authorized official for Peninsula Surgical Associates, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.