Gastroenterology of Indianapolis PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

060054031 Issued in IN

Legal business name

GASTROENTEROLOGY OF INDIANAPOLIS PC

Practice address

1120 Aaa Way
Carmel, IN 46032-3210

Phone

(317) 848-5494

Fax

(317) 575-0392

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Gail Fish

Title

Business Manager

Phone

(317) 848-5494

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Digestive Health Center Doing business as

Listed as

Digestive Health CenterCCN 15C0001022

Medicare certification status

Terminated Voluntary: merger or closure, Jul 2, 2024From the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1093764045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 AAA WAY",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323210",
            "telephone_number": "317-848-5494",
            "fax_number": "317-575-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 AAA WAY",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323210",
            "telephone_number": "317-848-5494",
            "fax_number": "317-575-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY OF INDIANAPOLIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "317-848-5494",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "060054031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000097944",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7471095",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lascelles Garvey
• Wendy Jean Garvin, DDS
• Natalie Garwood
• Michelle Gary
• Machelle Gastineau, LSW
• Gastroenterology of Indianapolis, P.C.
• Gateway Residential Services, LLC
• Mara Gattozzi, PT, DPT
• Madeline Gault, PHARMD
• GB West Carmel LLC

• Ambulatory Surgical Clinic/Center in Carmel, IN
• Providers in Carmel, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.