Organization Active NPI

Digestive Specialty Care Inc

  • Gastroenterology Physician
  • Tipp City, OH
National Provider Identifier
1386763738
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE SPECIALTY CARE INC
Practice address
450 N Hyatt St
Suite 302
Tipp City, OH 45371-1433
Phone
(937) 440-9292
NPI assigned
Mar 28, 2007
Organization subpart
Yes
Parent organization
DIGESTIVE SPECIALTY CARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. Fayez D. Abboud, MD
Title
President
Phone
(937) 440-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

450 N Hyatt St
Suite 302
Tipp City, OH 45371-1433

Mailing address

3130 N County Road 25a
Suite 109
Troy, OH 45373-1337
Phone (937) 440-9292

Other identifiers 1

IdentifierTypeStateIssuer
2037638MedicaidOH

National Provider Directory

National Provider Directory
Part of
Digestive Specialty Care Inc

Locations

915 Michigan St
Ste 206
Sidney, OH 45365
Phone (937) 498-2415

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1386763738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A",
            "address_2": "SUITE 109",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N HYATT ST",
            "address_2": "SUITE 302",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711433",
            "telephone_number": "937-440-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE SPECIALTY CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGESTIVE SPECIALTY CARE INC.",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "FAYEZ",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-440-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2037638",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipp City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.