Modern Gastroenterology

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MODERN GASTROENTEROLOGY

Practice address

102 E Central St
Siloam Springs, AR 72761-3100

Phone

(479) 335-5511

NPI assigned

May 4, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thusha Nathan, MD

Title

Practitioner

Phone

(479) 335-5511

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1003505157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 N HIGHWAY 7 STE 8",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719098201",
            "telephone_number": "806-928-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E CENTRAL ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613100",
            "telephone_number": "479-335-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "THUSHA",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "479-335-5511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Edwin Meehan II, D.O.
• Stephanie Menken
• Mary Christine Merrell, FNP-BC
• Hannah Millsap, LPC
• Eva Michelle Mitchell, LPC
• Emily Kay Moore
• Vicki Hurley Moore, APN
• Kristie D Morgan, LCSW
• Joseph D Morningstar
• April Dee Morris, LPC

• Gastroenterology Physician in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Gastroenterology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.