NPIMap

Organization Active NPI

Decatur Gastroenterology Associates PC

  • Gastroenterology Physician
  • Decatur, AL
National Provider Identifier
1023044328
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DECATUR GASTROENTEROLOGY ASSOCIATES PC
Practice address
1103 15TH Ave SE
Decatur, AL 35601-3345
Phone
(256) 350-0153
Fax
(256) 350-0156
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Michael MJ Wang, M.D.
Title
Partner
Phone
(256) 350-0154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X AL Primary

Addresses

Primary practice location

1103 15TH Ave SE
Decatur, AL 35601-3345

Mailing address

1103 15TH Ave SE
Decatur, AL 35601-3345
Phone (256) 350-0153

National Provider Directory

National Provider Directory

Locations

1103 15th Ave SE
Decatur, AL 35601
Phone (256) 350-0153

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1023044328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 15TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013345",
            "telephone_number": "256-350-0153",
            "fax_number": "256-350-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 15TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013345",
            "telephone_number": "256-350-0153",
            "fax_number": "256-350-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR GASTROENTEROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MJ",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "256-350-0154",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.