Gastrointestinal Institute, LLC.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7003056 Issued in IL

Legal business name

GASTROINTESTINAL INSTITUTE, LLC.

Practice address

2200 Jacobssen Dr Ste a
Normal, IL 61761-5516

Phone

(309) 451-1121

Fax

(309) 451-1212

NPI assigned

Jan 5, 2007

Last updated

Dec 8, 2023By 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

Mr. Phil Arthur McGowan

Title

Administrator

Phone

(309) 451-1123

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Gastrointestinal Institute LLCCCN 14C0001122

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 3

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.

• Jennifer L Frazier, CRNA

  • Certified Registered Nurse Anesthetist
  • Normal, IL
  • NPI 1780612812
  NPD
• Summer Alyssa Hinthorne, APN, WHNP

  • Women's Health Nurse Practitioner
  • Normal, IL
  • NPI 1831416189
  NPD
• Qazi E Khusro, M.D.

  • Gastroenterology Physician
  • Champaign, IL
  • NPI 1538268628
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1174670723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JACOBSSEN DR",
            "address_2": "SUITE A",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617615516",
            "telephone_number": "309-451-1121",
            "fax_number": "309-451-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 JACOBSSEN DR STE A",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617615516",
            "telephone_number": "309-451-1121",
            "fax_number": "309-451-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL INSTITUTE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-451-1123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7003056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF ILLINOIS",
            "identifier": "50492",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Garcia
• Sophia Garland, BA
• Chad Garner, PHARMD
• Carrie S. Garrett
• Robert Garrett, PTA
• Garrett Gaunch, OTD, OTR/L, CLIPP
• Connor Gearhart
• Brian William Gebhart, D.O.
• Abigail Gee, APN
• Elizabeth Rose Geistlinger

• Ambulatory Surgical Clinic/Center in Normal, IL
• Providers in Normal, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.