Digestive Care Consultants, Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MDR3G44 Issued in MO

Legal business name

DIGESTIVE CARE CONSULTANTS, INC

Practice address

100 Village SQ
Hazelwood, MO 63042-1820

Phone

(314) 298-1600

Fax

(314) 298-1601

NPI assigned

Mar 23, 2007

Last updated

Sep 5, 2014By 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

Dr. Gary David Koenig, M.D.NPI 1861485724

Title

President

Phone

(314) 298-1600

Specialties & licenses 1

Addresses

Other identifiers 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.

• Gary David Koenig, M.D.

  • Gastroenterology Physician
  • Hazelwood, MO
  • NPI 1861485724
  Authorized official Same address or phone

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1427175645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE SQ",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421820",
            "telephone_number": "314-298-1600",
            "fax_number": "314-298-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE SQ",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421820",
            "telephone_number": "314-298-1600",
            "fax_number": "314-298-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE CARE CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-298-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "MDR3G44",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202823316",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delightful Beginnings Healthcare LLC.
• Brian T Dent, D.C.
• Desilva Medical Services LLC
• Devoted Homecare LLC
• Praja Dhital
• Digestive Disease Specialists Inc
• Divine Care Home Health Services
• Divine Hands Home Care CDS LLC
• Marie Antoinette Dixon, LCSW
• Editha Villamar Domingo

• Gastroenterology Physician in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Gastroenterology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.