Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peninsula Surgical Associates, Inc

Organization Specialist · NPI 1720159270

Peninsula Surgical Associates, Inc is a Specialist in Hampton, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 Coliseum Dr Ste 200
Hampton, VA 23666-5906
Phone: (757) 827-2040
Fax: (757) 827-2055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101036761 (VA)

Record details

NPI number1720159270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Gore — President · (757) 827-2040
NPI enumeratedNovember 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4000 Coliseum Dr, Suite 200, Hampton, VA 23666-5906

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