Digestive Disease Center, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DIGESTIVE DISEASE CENTER, PC

Practice address

420 Lowell Drive
Suite 204
Huntsville, AL 35801-3763

Phone

(256) 536-9031

Fax

(256) 539-4240

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Prasad S Vankineni, M.D.

Title

President

Phone

(256) 536-9031

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1164580080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LOWELL DRIVE",
            "address_2": "SUITE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013763",
            "telephone_number": "256-536-9031",
            "fax_number": "256-539-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOWELL DRIVE",
            "address_2": "SUITE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013763",
            "telephone_number": "256-536-9031",
            "fax_number": "256-539-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "VANKINENI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-536-9031",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P. VANKINENI'S NPI #",
            "identifier": "1700958873",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURESH KARNE'S NPI #",
            "identifier": "1366534307",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529910050",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Jarmon Dickerson, PTA
• Hollye Dickey
• Ashley Dickinson
• Mary Rebecca Dickson
• Murray Dickson, DMD
• Louisa Nunzia Dileone, LPC
• Dominique C Dillard, LPC, MS
• Jennifer Anderson Dillard, M.CD., CCC-A
• Annika Lena Dillmann
• Wendy Dillon

• Gastroenterology Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Gastroenterology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.