NPIMap

Organization Active NPI

Digestive Care of Evansville PC

  • Gastroenterology Physician
  • Newburgh, IN
National Provider Identifier
1376751891
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE CARE OF EVANSVILLE PC
Practice address
3800 Venetian Way
Ste 200
Newburgh, IN 47630-8257
Phone
(812) 477-6103
NPI assigned
May 18, 2007
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Hugh W. Moors
Title
Administrator
Phone
(812) 477-6103

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X IN
Family Nurse Practitioner 363LF0000X
Gastroenterology Physician 207RG0100X IN Primary

Addresses

Primary practice location

3800 Venetian Way
Ste 200
Newburgh, IN 47630-8257

Mailing address

3800 Venetian Way
Newburgh, IN 47630-8257
Phone (812) 477-6103

Other practice location 1

801 St. Mary's Dr.
Suite 205 W
Evansville, IN 47714-0518
Phone (812) 477-6103

Other names 1

  • Gastroenterology Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000501 IN Part B Supplier - Clinic/Group Practice 8022119858 Receives reassigned benefits from 32 practitioners
Practice locations: Newburgh, IN

National Provider Directory

National Provider Directory
Tax ID family
Digestive Care of Evansville PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

3800 Venetian Way
Ste 200
Newburgh, IN 47630
Phone (812) 477-6103

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1376751891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 VENETIAN WAY",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308257",
            "telephone_number": "812-477-6103",
            "fax_number": "812-477-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 VENETIAN WAY",
            "address_2": "STE 200",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308257",
            "telephone_number": "812-477-6103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 St. Mary's Dr.",
            "address_2": "Suite 205 W",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140518",
            "country_code": "US",
            "telephone_number": "812-477-6103",
            "fax_number": "812-477-4897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIGESTIVE CARE OF EVANSVILLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "MOORS",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "812-477-6103"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology Associates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gastroenterology Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.