Louis Vincent Antignano, M.D.
Individual provider Active NPI Gastroenterology Physician · Dalton, GA
NPI 1093896151 · NPPES record last updated Jun 7, 2021
Key facts
- NPI
- 1093896151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 2011-00588 (NC)
- Practice address
- 302 Point North PL
Dalton, GA 30720-2644 - Phone
- (706) 272-4127
- Fax
- (706) 279-3969
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154491 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Gastrointestinal Consultants | Gastroenterology | Current |
Accepting new patients |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
1065 Senator Keating Blvd
Ste 220
Rochester, NY 14618
Phone (585) 271-8860
995 Senator Keating Blvd
Ste 300
Rochester, NY 14618
Phone (585) 271-0380
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 154491 | NY | |
| Gastroenterology Physician | 207RG0100X | 079536 | GA | |
| Gastroenterology Physician | 207RG0100X | 2011-00588 | NC | Yes |
Addresses
Primary practice location
302 Point North PL
Dalton, GA 30720-2644
Mailing address
302 Point North PL
Dalton, GA 30720-2644
Phone (706) 272-4127
Other practice location 1
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8000
Other providers in Dalton, GA
- Merri Anderson
- Lyndsey Alyssa Andrews
- Anesthesia Associates of Dalton
- Ansana LLC
- John S Antalis
- Aog Aesthetics
- Apex Spine Center, Inc.
- Karyn L. Apone
- Ar Medical LLC
- Jacqueline Arana
All providers in Dalton, GA · Gastroenterology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.