Active NPI
Digestive Health Specialists of Eastern Connecticut LLC
- Gastroenterology Physician
- Manchester, CT
National Provider Identifier
1164541686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- DIGESTIVE HEALTH SPECIALISTS OF EASTERN CONNECTICUT LLC
- Practice address
- 353 Main St
Manchester, CT 06040-4145 - Phone
- (860) 649-3477
- NPI assigned
- Mar 28, 2007
- Last updated
- Jun 13, 2012
- 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
- Peter S Buch, M.D.
- Title
- Physician Partner
- Phone
- (860) 649-3477
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 | Primary |
Addresses
Primary practice location
353 Main St
Manchester, CT 06040-4145
Mailing address
353 Main St
Manchester, CT 06040-4145
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
- Manchester, CT
- NPI 1124098199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339545600000",
"number": "1164541686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404145",
"telephone_number": "860-649-3477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE HEALTH SPECIALISTS OF EASTERN CONNECTICUT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2012-06-13",
"status": "A",
"authorized_official_last_name": "BUCH",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN PARTNER",
"authorized_official_telephone_number": "860-649-3477",
"authorized_official_credential": "M.D."
},
"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 Manchester, CT
- Sandy N Diaz
- Dickerson Enterprise LLC (Dickerson Counseling and Therapy Center)
- Dickerson Enterprise LLC (Dickerson Counseling & Therapy Center)
- Ethel Dickerson, LCSW
- Joseph Lee Dickerson Jr., M. ED
- Jacob M Diiorio
- Scott Maurice Dillard, D.D.S.
- Sydney J Dillon
- Jeannie Dilworth, APRN
- Sandra Lynn Dimario, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.