Active NPI
Shoals Gastroenterology, LLC
- Gastroenterology Physician
- Florence, AL
National Provider Identifier
1417601196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- SHOALS GASTROENTEROLOGY, LLC
- Practice address
- 3103 Florence Blvd
Florence, AL 35634-2546 - Phone
- (256) 444-4401
- NPI assigned
- Feb 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabriel Ionescu, MD
- Title
- President
- Phone
- (917) 991-7953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
3103 Florence Blvd
Florence, AL 35634-2546
Mailing address
3103 Florence Blvd
Florence, AL 35634-2546
Phone (256) 444-4401
Other practice location 1
22281 US Highway 72 Ste A
Athens, AL 35613-2601
Phone (256) 444-4401
National Provider Directory
National Provider DirectoryLocations
3103 Florence Blvd
Florence, AL 35634
Phone (256) 444-4401
Practitioners & affiliated clinicians
Practitioners 1
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": "1644451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644451200000",
"number": "1417601196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 FLORENCE BLVD",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356342546",
"telephone_number": "256-444-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 FLORENCE BLVD",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356342546",
"telephone_number": "256-444-4401"
}
],
"practiceLocations": [
{
"address_1": "22281 US Highway 72 Ste A",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "AL",
"postal_code": "356132601",
"country_code": "US",
"telephone_number": "256-444-4401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHOALS GASTROENTEROLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A",
"authorized_official_last_name": "IONESCU",
"authorized_official_first_name": "GABRIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-991-7953",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
- Shoals Committee on Programs and Employment for the Mentally Retarded
- Shoals Counseling, LLC
- Shoals Dental Center, Inc
- Shoals Foot and Ankle Clinic PC
- Shoals Gastroenterology LLC
- Shoals Hearing Clinic, P.C.
- Shoals Home Services, LLC
- Shoals Hospice LLC
- Shoals Neurology Clinic PC
- Shoals Obstetrics and Gynecology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.