Southern Indiana Gastroenterology,LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

01071336A Issued in IN

Legal business name

SOUTHERN INDIANA GASTROENTEROLOGY,LLC

Practice address

1401 Professional Blvd
Ste 200
Evansville, IN 47714-8014

Phone

(812) 401-3003

Fax

(812) 401-3006

NPI assigned

Apr 27, 2013

Organization subpart

No

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

Authorized official

Name

Sumalatha Satoor, MDNPI 1457336679

Title

Owner

Phone

(404) 274-1589

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sumalatha Satoor, MD

  • Gastroenterology Physician
  • Anderson, IN
  • NPI 1457336679
  NPD (past) Authorized official

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

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367020800000",
    "number": "1164866604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 WINTHROP CT",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154284",
            "telephone_number": "404-274-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PROFESSIONAL BLVD",
            "address_2": "STE 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148014",
            "telephone_number": "812-401-3003",
            "fax_number": "812-401-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA GASTROENTEROLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-04-27",
        "status": "A",
        "authorized_official_last_name": "SATOOR",
        "authorized_official_first_name": "SUMALATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-274-1589",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01071336A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kayla D Southard, NP
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• Gastroenterology Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Gastroenterology Physician in Indiana

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