Anniston Gastroenterology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

19468 Issued in AL

Legal business name

ANNISTON GASTROENTEROLOGY ASSOCIATES

Practice address

1720 Leighton Ave
Anniston, AL 36207-3811

Phone

(256) 237-3284

Fax

(256) 237-4104

NPI assigned

Jan 10, 2007

Last updated

Apr 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly Benefield

Title

Office Manager

Phone

(256) 237-3284

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pankaj K. Kashyap, M.D. Other name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pankaj Kumar Kashyap, M.D.

  • Specialist
  • Anniston, AL
  • NPI 1609864248
  Medicare reassignment NPD
• Michael Sesay, MD

  • Family Medicine Physician
  • Anniston, AL
  • NPI 1073735098
  NPD
• Sonia Neelam Kashyap, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1407712649
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1083764526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362020126",
            "telephone_number": "256-237-3284",
            "fax_number": "256-237-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073811",
            "telephone_number": "256-237-3284",
            "fax_number": "256-237-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNISTON GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "BENEFIELD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-237-3284"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "19468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529909260",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pankaj K. Kashyap, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Anniston Medical Clinic PC
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• Specialist in Anniston, AL
• Providers in Anniston, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.