Advanced Gastroenterology, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ADVANCED GASTROENTEROLOGY, LLC

Practice address

520 S 7TH St Ste Sb406
Vincennes, IN 47591-1038

Phone

(812) 885-8770

Fax

(812) 885-8771

NPI assigned

Jan 13, 2009

Last updated

Nov 5, 2020By 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

Dr. Reginald Sandy, D.O.NPI 1972504629

Title

Physician

Phone

(812) 885-8770

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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.

• Reginald Sandy, DO

  • Gastroenterology Physician
  • Vincennes, IN
  • NPI 1972504629
  Medicare reassignment Care Compare group NPD Authorized official
• Karen M Potter Sandy, PA

  • Physician Assistant
  • Vincennes, IN
  • NPI 1144871294
  Medicare reassignment Care Compare group
• Stacy A Wilson, FNP

  • Family Nurse Practitioner
  • Vincennes, IN
  • NPI 1982000568
  Medicare reassignment NPD

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1083851042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 7TH ST STE SB406",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038",
            "telephone_number": "812-885-8770",
            "fax_number": "812-885-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475012122",
            "country_code": "US",
            "telephone_number": "812-885-8770",
            "fax_number": "812-885-8771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Hospital Ln Ste 106",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024230",
            "country_code": "US",
            "telephone_number": "812-885-8770",
            "fax_number": "812-885-8771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED GASTROENTEROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "SANDY",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "812-885-8770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhs@direct.deaconess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "520 S 7th St Ste Sb406",
            "city": "Vincennes",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475911038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Adams
• Cyrus Eugene Adams, M.D.
• Jacob Palmer Adams, MSOTR/L
• Andrews Adjapong
• Advanced Diagnostic Imaging PC
• Advanced Pain Care Clinic PSC
• Advanced Pain Management, SC
• Rabeet Ahmad, MD
• Shahzad Ahmad, D.O.
• Rebecca Ann Akers, A.N.P., F.N.P

• Gastroenterology Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Gastroenterology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.