Affiliated Gastroenterology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

50003958A Issued in IN

Legal business name

AFFILIATED GASTROENTEROLOGY, PC

Doing business as

Affiliated Gastroenterology, PC

Practice address

1024 S 6TH St
Suite 105
Terre Haute, IN 47807-5015

Phone

(812) 232-5900

NPI assigned

Dec 14, 2007

Last updated

Dec 14, 2007By 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

Jeffrey J Bilotta, MD

Title

President

Phone

(812) 232-5900

Specialties & licenses 1

Addresses

Other names 1

• Affiliated Gastroenterology, PC Doing business as

Locations

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1194908947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 S 6TH ST",
            "address_2": "SUITE 105",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478075015",
            "telephone_number": "812-232-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S 6TH ST",
            "address_2": "SUITE 105",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478075015",
            "telephone_number": "812-232-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "BILOTTA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-232-5900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "50003958A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Gastroenterology, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.