Digestive Health Specialists, PA
Organization Active NPI Gastroenterology Physician · King, NC
NPI 1275930968 · NPPES record last updated Apr 4, 2017
Key facts
- NPI
- 1275930968
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- DIGESTIVE HEALTH SPECIALISTS, PA
- Practice address
- 434 Kirby Rd
Lower Level Suite 6
King, NC 27021-9494 - Phone
- (336) 768-6211
- Fax
- (336) 768-6869
- NPI assigned
- Nov 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jacquline Tillinger, MHA
- Title
- Ceo
- Phone
- (336) 768-6211
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 2
Practitioners 4
-
Ingrid Gonzalez, M.D.
-
Apsara Prasad, M.D.
-
Neal Sharma, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040610000265 | NC | Part B Supplier - Clinic/Group Practice | 6507849601 |
Receives reassigned benefits from 28 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Thomasville, NC; Winston Salem, NC; King, NC; Advance, NC; Kernersville, NC |
National Provider Directory
- Tax ID family
- Digestive Health Specialists PA
Locations
434 Kirby Rd
Lowr
King, NC 27021
434 Kirby Rd
King, NC 27021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes |
Addresses
Primary practice location
434 Kirby Rd
Lower Level Suite 6
King, NC 27021-9494
Mailing address
2025 Frontis Plaza Blvd
Suite 200
Winston Salem, NC 27103-5663
Phone (336) 768-6211
Other providers in King, NC
- Daymark Recovery Services Inc
- Daymark Recovery Services Inc
- Daymark Recovery Services Inc
- Daymark Recovery Services Inc
- Daymark Recovery Services, Inc
- Digestive Health Specialists, PA
- Doctors Vision Center OD PA
- Andrea Mae Dorsch Doub
- Gregory Ray Dunkelberger
- Eckerd Corporation
All providers in King, NC · Gastroenterology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.