Gastrointestinal Associates Endoscopy Center, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

25C0001065 Issued in MS

Legal business name

GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC

Practice address

1815 Mission 66
Vicksburg, MS 39180-3709

Phone

(601) 355-1234

Fax

(601) 326-3566

NPI assigned

Aug 10, 2007

Organization subpart

Yes

Parent organization

GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Pierce D. Dotherow, M.D.NPI 1346238615

Title

Authorized Official

Phone

(601) 355-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Gastrointestinal Associates Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Flowood, MS
  • NPI 1245352327

  O20061004000194

  Same enrollment
• Gastrointestinal Associates Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Madison, MS
  • NPI 1558553859

  O20061004000194

  Same enrollment

Listed as

Gastrointestinal Associates Endoscopy Center LLCCCN 25C0001065

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Gastrointestinal Assoc5 organizations share this tax ID, including this one

Part of

Gastrointestinal Assoc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Gastrointestinal Associates Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Ocean Springs, MS
  • NPI 1114781556
  NPD tax ID
• Gastrointestinal Associates Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Flowood, MS
  • NPI 1245352327
  NPD tax ID
• Gastrointestinal Associates Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Madison, MS
  • NPI 1558553859
  NPD tax ID
• Gastrointestinal Endoscopy Center

  • Gastroenterology Physician
  • Jackson, MS
  • NPI 1447249354
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Gastrointestinal Associates, P.a.

  • Gastroenterology Physician
  • Vicksburg, MS
  • NPI 1144412438

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gastrointestinal Associates Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Flowood, MS
  • NPI 1245352327
  NPPES parent name

Practitioners 1

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

• Pierce D Dotherow, MD

  • Gastroenterology Physician
  • Flowood, MS
  • NPI 1346238615
  NPD (past) Authorized official

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1366634669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329513",
            "telephone_number": "601-355-1234",
            "fax_number": "601-326-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803709",
            "telephone_number": "601-355-1234",
            "fax_number": "601-326-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC",
        "enumeration_date": "2007-08-10",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "DOTHEROW",
        "authorized_official_first_name": "PIERCE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "601-355-1234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MS",
            "license": "25C0001065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04837303",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Supree Alezandri Gamble
• Hailey Garner
• Garrett Rouse Garrett Rouse
• Gaskin Family Chiropractic, P.C.
• Kenya M Gaskin, D.C.
• Gastrointestinal Associates, P.a.
• Gateway Behavioral Health Services
• Gateway Wellness Clinic
• Madeleine Gaul
• Laura Howell Gee

• Endoscopy Clinic/Center in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Endoscopy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.