Active NPI
Catawba Gastroenterology PA
- Gastroenterology Physician
- Lancaster, SC
National Provider Identifier
1144242108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 20952
- Legal business name
- CATAWBA GASTROENTEROLOGY PA
- Practice address
- 108 Healthcare Dr
Lancaster, SC 29720-8037 - Phone
- (803) 286-9963
- Fax
- (803) 283-6330
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 16, 2013
- 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
- Dr. Vimal P Amin, MD
- Title
- President
- Phone
- (803) 286-9963
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 20952 | SC | Primary |
Addresses
Primary practice location
108 Healthcare Dr
Lancaster, SC 29720-8037
Mailing address
108 Healthcare Dr
Lancaster, SC 29720-8037
Phone (803) 286-9963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2815 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Gastroenterology Physician
- Lancaster, SC
- NPI 1366464497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373932800000",
"number": "1144242108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 HEALTHCARE DR",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297208037",
"telephone_number": "803-286-9963",
"fax_number": "803-283-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 HEALTHCARE DR",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297208037",
"telephone_number": "803-286-9963",
"fax_number": "803-283-6330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATAWBA GASTROENTEROLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2013-07-16",
"status": "A",
"authorized_official_last_name": "AMIN",
"authorized_official_first_name": "VIMAL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-286-9963",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "SC",
"license": "20952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2815",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
- Carolinas Physicians Network, Inc. (Carolinas Orthopaedic Surgery Associates)
- Ian Michael Carrese, PA-C
- Carrie Heart of Gold Home Care LLC
- James Alvin Carter, DMD
- Louis L Casper, PTA
- Courtney Brooks Catledge, DNP APRN FNP
- Robin Dale Catoe, LPC, CACI, NBCC
- Walonda Catoe, MA
- Mallory Marie Cauthen, PA-C
- Center for Urological Diseases at Lancaster
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.