Gastroenterology Care LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY CARE LLC

Practice address

522 N New Ballas Rd Ste 210
Saint Louis, MO 63141-6829

Phone

(314) 724-1348

NPI assigned

Oct 6, 2019

Last updated

Oct 6, 2019By 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

Kishore Maganty, MDNPI 1790908820

Title

Physician Owner

Phone

(314) 724-1348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

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.

• Kishore Maganty, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
  • NPI 1790908820

  IL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570320000000",
    "number": "1417598947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LADUE CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417803",
            "telephone_number": "314-724-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416829",
            "telephone_number": "314-724-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-10-06",
        "status": "A",
        "authorized_official_last_name": "MAGANTY",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "314-724-1348",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Gastman, FNP-C
• Andrea Denise Gaston, MSW LSCW
• Cheri Marie Gaston, SPEECH LANGUAGE PATH
• Jerome Gaston
• Vincent Gaston, CADC, NCACII
• Jody Giardina Gates, R.D.H.
• Shanita Gates
• Shaunte Lenae Gates
• Gateway Ambulance Service LLC
• Gateway Anesthesia Group LLC

• Gastroenterology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Gastroenterology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; 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.