NPIMap

Organization Active NPI

Gis Services 2, LLC

  • Gastroenterology Physician
  • Brockton, MA
National Provider Identifier
1194287888
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GIS SERVICES 2, LLC
Practice address
189 Quincy St
Brockton, MA 02302-2967
Phone
(508) 588-6700
Fax
(508) 584-3010
NPI assigned
Apr 2, 2019
Last updated
May 10, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
GASTROINTESTINAL SPECIALISTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Mark L Finklestein, MDNPI 1831114149
Title
Partner
Phone
(508) 588-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

189 Quincy St
Brockton, MA 02302-2967

Mailing address

189 Quincy St
Brockton, MA 02302-2967
Phone (508) 588-6700

Other practice location 1

35 Summer St
Taunton, MA 02780-3469
Phone (508) 821-4100

Other practice location 2

1 Compass Way
East Bridgewater, MA 02333-1465
Phone (508) 350-2940

Other practice location 3

511 W Grove St Ste 206
Middleboro, MA 02346-1479
Phone (508) 947-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190617001461 MA Part B Supplier - Clinic/Group Practice 1355674755 Receives reassigned benefits from 13 practitioners
Practice locations: East Bridgewater, MA; Taunton, MA; Brockton, MA

National Provider Directory

National Provider Directory
Part of
Gastrointestinal Specialists LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

511 W Grove St
Ste 206
Middleboro, MA 02346
Phone (508) 821-4100

35 Summer St
Ste 201
Taunton, MA 02780
Phone (508) 821-4100

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1194287888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022967",
            "telephone_number": "508-588-6700",
            "fax_number": "508-584-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022967",
            "telephone_number": "508-588-6700",
            "fax_number": "508-584-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Summer St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027803469",
            "country_code": "US",
            "telephone_number": "508-821-4100",
            "fax_number": "508-822-2367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Compass Way",
            "address_purpose": "LOCATION",
            "city": "East Bridgewater",
            "state": "MA",
            "postal_code": "023331465",
            "country_code": "US",
            "telephone_number": "508-350-2940",
            "fax_number": "508-378-2852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 W Grove St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Middleboro",
            "state": "MA",
            "postal_code": "023461479",
            "country_code": "US",
            "telephone_number": "508-947-0440",
            "fax_number": "508-947-0495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GIS SERVICES 2, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTROINTESTINAL SPECIALISTS, LLC",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "FINKLESTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-588-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.