Gastroenterology Consultants of Tuscaloosa

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

U6302 Issued in AL

Legal business name

GASTROENTEROLOGY CONSULTANTS OF TUSCALOOSA

Practice address

100 Rice Mine Rd N Ste E
Tuscaloosa, AL 35406-2375

Phone

(205) 345-0010

Fax

(205) 752-1175

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Adisesha Reddy, MD

Title

Owner Provider

Phone

(205) 345-0010

Specialties & licenses 1

Addresses

Other names 1

• TUSCALOOSA ENDOSCOPY CENTER Doing business as

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1306049580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N STE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062375",
            "telephone_number": "205-345-0010",
            "fax_number": "205-752-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N STE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062375",
            "telephone_number": "205-345-0010",
            "fax_number": "205-752-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS OF TUSCALOOSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "ADISESHA",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "205-345-0010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "U6302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUSCALOOSA ENDOSCOPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maya Garrett, PHARMD
• Kelli Garrick, CRNP
• Jamie Fitzgerald Gary, R.N.
• Christopher Gaskill, PH.D
• Gastrocare PC
• Gastroenterology Consultants of Tuscaloosa LLC
• Katie Marie Gates, M.D.
• Jenna L Gaut, CRNP
• Emily Gavin, PHARMD
• David Ellis Gay Jr., SOCIA WORK

• Ambulatory Surgical Clinic/Center in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.