NPIMap

Organization Active NPI

Associates in Gastroenterology, PC

  • Medical Specialty Clinic/Center
  • Huntsville, AL
National Provider Identifier
1194138305
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1-127404 Issued in AL
Legal business name
ASSOCIATES IN GASTROENTEROLOGY, PC
Practice address
809 Shoney Dr SW
Suite 202
Huntsville, AL 35801-5308
Phone
(256) 883-0098
NPI assigned
Jun 5, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Alyssa Kathryne Ezell, CRNPNPI 1619381340
Title
Nurse
Phone
(256) 883-0098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1-127404 AL Primary

Addresses

Primary practice location

809 Shoney Dr SW
Suite 202
Huntsville, AL 35801-5308

Mailing address

8906 Willow Hills Dr SE
Huntsville, AL 35802-3730
Phone (256) 694-4362

National Provider Directory

National Provider Directory
Tax ID family
Associates in Gastroenterology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1194138305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 WILLOW HILLS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023730",
            "telephone_number": "256-694-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SHONEY DR SW",
            "address_2": "SUITE 202",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015308",
            "telephone_number": "256-883-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "KATHRYNE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "256-883-0098",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "1-127404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.