Organization Active NPI

Digestive Healthcare Associates, P.C.

  • Gastroenterology Physician
  • Valparaiso, IN
National Provider Identifier
1144325614
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE HEALTHCARE ASSOCIATES, P.C.
Practice address
2206 Roosevelt Rd
Ste a
Valparaiso, IN 46383-2749
Phone
(219) 464-9507
Fax
(219) 477-4690
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas R Hall, MDNPI 1568434959
Title
Secretary
Phone
(219) 464-9507

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2206 Roosevelt Rd
Ste a
Valparaiso, IN 46383-2749

Mailing address

2206 Roosevelt Rd
Ste a
Valparaiso, IN 46383-2749
Phone (219) 464-9507

Other names 1

  • Michigan CIty IN Other name

National Provider Directory

National Provider Directory

Locations

104 E Culver Rd
Ste 104
Knox, IN 46534
Phone (219) 782-6566

900 I St
#1
La Porte, IN 46350
Phone (219) 324-1670

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144325614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 ROOSEVELT RD",
            "address_2": "STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832749",
            "telephone_number": "219-464-9507",
            "fax_number": "219-477-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 ROOSEVELT RD",
            "address_2": "STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832749",
            "telephone_number": "219-464-9507",
            "fax_number": "219-477-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTHCARE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "219-464-9507",
        "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": [
        {
            "organization_name": "Michigan CIty IN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valparaiso, IN

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.