Gastrointestinal Specialists Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROINTESTINAL SPECIALISTS INC

Practice address

10 Presidential Blvd
Suite 124
Bala Cynwyd, PA 19004-1107

Phone

(610) 664-9700

Fax

(610) 664-6391

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Elyse Carrullo

Title

Administrator

Phone

(610) 664-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Frances Scott, CRNP

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1982777223
  NPD (past)
• Deborah Lynn Selm-Orr, APRN

  • Adult Health Nurse Practitioner
  • Allentown, PA
  • NPI 1841331766
  NPD (past)
• Jenna L Jeganathan, PA-C

  • Medical Physician Assistant
  • Cleveland, OH
  • NPI 1780761676
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1235192394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PRESIDENTIAL BLVD",
            "address_2": "SUITE 124",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041107",
            "telephone_number": "610-664-9700",
            "fax_number": "610-664-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PRESIDENTIAL BLVD",
            "address_2": "SUITE 124",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041107",
            "telephone_number": "610-664-9700",
            "fax_number": "610-664-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "CARRULLO",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-664-9700"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000851059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol A. Gantman, PH. D.
• Gregory David Garber, MSW
• Jeffrey G Garber, D.M.D., MBE, LLC
• Robert Garfield, MD
• Richard Martin Gash, MD
• Jennifer Tracey Gateau
• Kylee E Gathercole, LMSW
• Hugh J Gayton, CRNA
• Katelyn Marie Gdovin, PA-C
• Robert M. Gdovin, P.T.

• Gastroenterology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.