Organization Active NPI

Digestive Healthcare of Central Tennessee, PLLC

  • Gastroenterology Physician
  • Shelbyville, TN
National Provider Identifier
1154637122
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2139 Issued in TN
Legal business name
DIGESTIVE HEALTHCARE OF CENTRAL TENNESSEE, PLLC
Practice address
112 Airport Business Park Drive
Suite G
Shelbyville, TN 37160
Phone
(931) 735-6036
Fax
(931) 735-6293
NPI assigned
Aug 27, 2010
Last updated
Aug 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Ronald Angles, D.O.NPI 1245284918
Title
Owner
Phone
(931) 735-6036

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 Physician 207RG0100X 2139 TN Primary

Addresses

Primary practice location

112 Airport Business Park Drive
Suite G
Shelbyville, TN 37160

Mailing address

112 Airport Business Park Drive
Suite G
Shelbyville, TN 37160
Phone (931) 735-6036

Other names 1

  • Digestive Healthcare of Middle Tennessee Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1154637122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 AIRPORT BUSINESS PARK DRIVE",
            "address_2": "SUITE G",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "37160",
            "telephone_number": "931-735-6036",
            "fax_number": "931-735-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AIRPORT BUSINESS PARK DRIVE",
            "address_2": "SUITE G",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "37160",
            "telephone_number": "931-735-6036",
            "fax_number": "931-735-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTHCARE OF CENTRAL TENNESSEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "ANGLES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-735-6036",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "2139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Healthcare of Middle Tennessee",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.