The Gastroenterology Clinic, PLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

03066 Issued in IA

Legal business name

THE GASTROENTEROLOGY CLINIC, PLC

Practice address

1223 S Gear Ave
Suite 201
West Burlington, IA 52655-1682

Phone

(319) 758-9075

Fax

(319) 758-9079

NPI assigned

Jun 10, 2006

Last updated

Mar 17, 2008By 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. Daniel Peasley, DONPI 1821095027

Title

Physician

Phone

(319) 758-9075

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Daniel J. Peasley, D.O.

  • Gastroenterology Physician
  • West Burlington, IA
  • NPI 1821095027
  Authorized official Same address or phone

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1215979919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S GEAR AVE",
            "address_2": "SUITE 201",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551682",
            "telephone_number": "319-758-9075",
            "fax_number": "319-758-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S GEAR AVE",
            "address_2": "SUITE 201",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551682",
            "telephone_number": "319-758-9075",
            "fax_number": "319-758-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GASTROENTEROLOGY CLINIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "PEASLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "319-758-9075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "03066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151191",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "58751",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE9199",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Szymula, PHD
• Vincent A Taeger, M.D.
• Giselle Joan Tan, M.D.
• Steven Hollister Tekell
• Emily Diane Terlouw, CNM
• Richard G. To, MD
• James Towlerton
• Dalton Tran, MD
• Margaret Trousil, AGPCNP
• Emily L Underwood

• Gastroenterology Physician in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Gastroenterology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.