Associates in Gastroenterology SC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ASSOCIATES IN GASTROENTEROLOGY SC

Practice address

2700 E Enterprise Ave
Unit C
Appleton, WI 54913-7890

Phone

(920) 738-7300

Fax

(920) 738-7301

NPI assigned

Jul 30, 2006

Last updated

Jul 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nadeem Siddiqui, M.D.

Title

President

Phone

(920) 738-7300

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, and the practitioner matching its NPPES authorized official.

• Jacklyn M Spates, APNP

  • Family Nurse Practitioner
  • Appleton, WI
  • NPI 1487969572
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1174538854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E ENTERPRISE AVE",
            "address_2": "UNIT C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137890",
            "telephone_number": "920-738-7300",
            "fax_number": "920-738-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E ENTERPRISE AVE",
            "address_2": "UNIT C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137890",
            "telephone_number": "920-738-7300",
            "fax_number": "920-738-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN GASTROENTEROLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-738-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ascension Wisconsin Pharmacy, Inc (Ascension Rx 1111)
• Ascension Wisconsin Pharmacy, Inc. (Ascension WI Prescription Center St. Elizabeth Hospital)
• Ashley Ashmann, BCBA
• Aspire to Change Therapy, LLC
• Tara Lynn Atanasoff, O.D.
• Athletico LTD (Athletico Physical Therapy)
• Atlascare LLC
• Emmanuel Olisaemeka Attah, MD
• Attic Correctional Services

• Gastroenterology Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Gastroenterology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.