Mid-State Gastroenterology, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD0000026198 Issued in TN

Legal business name

MID-STATE GASTROENTEROLOGY, PLLC

Practice address

517 Highland Ter
Ste B
Murfreesboro, TN 37130-2476

Phone

(615) 896-6996

Fax

(615) 896-6985

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Rosalind Brook Burnett, M.A.

Title

Practice Manager

Phone

(615) 896-6996

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sunil Sarvaria MD Former legal business name

Locations

Practitioners 1

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

• Kimberly Ann Dymond, PAC

  • Physician Assistant
  • Oak Ridge, TN
  • NPI 1649263419
  NPD

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1265554091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11209",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290025",
            "telephone_number": "615-896-6996",
            "fax_number": "615-896-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 HIGHLAND TER",
            "address_2": "STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302476",
            "telephone_number": "615-896-6996",
            "fax_number": "615-896-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STATE GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "ROSALIND",
        "authorized_official_middle_name": "BROOK",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "615-896-6996",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000026198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00269512",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730229",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunil Sarvaria MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mid South Psychiatric Associates
• Mid State Endo Uap, LLC
• Mid- TN Therapeutic Clinic
• Mid-State Endoscopy Center LLC
• Mid-State Endoscopy Center LLC
• Mid-State Neurosurgery PC
• Mid-State Surgery PLLC
• Middle Tennessee Ambulatory Surgery Center, L.P.
• Middle Tennessee Blvd Healthcare LLC
• Middle Tennessee Center for Lung Disease, PC

• Specialist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.