Gastroenterology of Arizona, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY OF ARIZONA, PLLC

Practice address

600 West Highway 260
Suite #9
Payson, AZ 85541

Phone

(602) 761-0707

Fax

(520) 231-9556

NPI assigned

Nov 22, 2023

Last updated

May 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Wadas

Title

Manager

Phone

(602) 761-0707

Specialties & licenses 1

Addresses

Other names 1

• GI Arizona Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Darrell D Wadas, MD

  • Gastroenterology Physician
  • Payson, AZ
  • NPI 1871565739
  Medicare reassignment NPD

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1386419000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N PINAL AVE STE 12-467",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851227918",
            "telephone_number": "602-761-0707",
            "fax_number": "520-231-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WEST HIGHWAY 260",
            "address_2": "SUITE #9",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "85541",
            "telephone_number": "602-761-0707",
            "fax_number": "520-231-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY OF ARIZONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2024-05-13",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "WADAS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-761-0707"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GI Arizona",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GI Arizona",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frontier Dental Arts, P.C.
• Frontier Haven LLC
• Brian M Gabbert, D.C.
• Nicholas Connor Galvin, DO
• Tara Gann, NP
• Thomas Gates, RPH
• Genoa Healthcare LLC
• Geriatric Health Services, PLC
• Gila Health and Wellness Center LLC
• Gila Lung, PC

• Gastroenterology Physician in Payson, AZ
• Providers in Payson, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.