NPIMap

Organization Active NPI

Gastrointestinal Specialists, PC

  • Specialist
  • Muscle Shoals, AL
National Provider Identifier
1003926056
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18418 Issued in AL
Legal business name
GASTROINTESTINAL SPECIALISTS, PC
Practice address
104 Physicians Dr
Suite a
Muscle Shoals, AL 35661-2100
Phone
(256) 314-1010
Fax
(256) 314-0005
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Mangesh Shukla, MDNPI 1881625333
Title
President
Phone
(256) 314-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 18418 AL Primary

Addresses

Primary practice location

104 Physicians Dr
Suite a
Muscle Shoals, AL 35661-2100

Mailing address

104 Physicians Dr
Suite a
Muscle Shoals, AL 35661-2100
Phone (256) 314-1010

Other identifiers 1

IdentifierTypeStateIssuer
529919500MedicaidAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1003926056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHYSICIANS DR",
            "address_2": "SUITE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612100",
            "telephone_number": "256-314-1010",
            "fax_number": "256-314-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHYSICIANS DR",
            "address_2": "SUITE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612100",
            "telephone_number": "256-314-1010",
            "fax_number": "256-314-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "MANGESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-314-1010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "18418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529919500",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.