Active NPI
Gastrocare PC
- Gastroenterology Physician
- Tuscaloosa, AL
National Provider Identifier
1114039872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROCARE PC
- Practice address
- 100 Rice Mine Rd N Ste E
Tuscaloosa, AL 35406-2375 - Phone
- (205) 345-0010
- Fax
- (205) 986-0081
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adisesha B Reddy, MD
- Title
- Provider/Owner
- Phone
- (205) 345-0010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
100 Rice Mine Rd N Ste E
Tuscaloosa, AL 35406-2375
Mailing address
100 Rice Mine Rd N Ste E
Tuscaloosa, AL 35406-2375
Phone (205) 345-0010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3400 Highway 78 E
Ste 404
Jasper, AL 35501
Phone (205) 221-7719
809 University Blvd E
Ste 3
Tuscaloosa, AL 35401
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Tuscaloosa, AL
- NPI 1407968167
-
- Student in an Organized Health Care Education/Training Program
- Tuscaloosa, AL
- NPI 1437396108
-
- Family Nurse Practitioner
- Birmingham, AL
- NPI 1053183376
-
- Anatomic Pathology & Clinical Pathology Physician
- Hoover, AL
- NPI 1700839255
-
- Gastroenterology Physician
- Louisville, KY
- NPI 1548584311
-
- Surgery Physician
- Tuscaloosa, AL
- NPI 1720088834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114039872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RICE MINE RD N STE E",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062375",
"telephone_number": "205-345-0010",
"fax_number": "205-986-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RICE MINE RD N STE E",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062375",
"telephone_number": "205-345-0010",
"fax_number": "205-986-0081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROCARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "ADISESHA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "205-345-0010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
- Jason Corneil Garrett, PHARM.D
- Maya Garrett, PHARMD
- Kelli Garrick, CRNP
- Jamie Fitzgerald Gary, R.N.
- Christopher Gaskill, PH.D
- Gastroenterology Consultants of Tuscaloosa (Tuscaloosa Endoscopy Center)
- Gastroenterology Consultants of Tuscaloosa LLC (Tuscaloosa Endoscopy Center)
- Katie Marie Gates, M.D.
- Jenna L Gaut, CRNP
- Emily Gavin, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.