Organization Active NPI

Gastroenterology Consultants PC

  • Gastroenterology Physician
  • Council Bluffs, IA
National Provider Identifier
1437196045
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY CONSULTANTS PC
Practice address
801 Harmony St
Suite 201
Council Bluffs, IA 51503-3106
Phone
(712) 323-1230
Fax
(712) 323-7500
NPI assigned
Jun 1, 2006
Last updated
Aug 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Vedhagiri Selvakumar
Title
Owner
Phone
(712) 323-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

801 Harmony St
Suite 201
Council Bluffs, IA 51503-3106

Mailing address

801 Harmony St
Suite 201
Council Bluffs, IA 51503-3106
Phone (712) 323-1230

Other identifiers 1

IdentifierTypeStateIssuer
0092346MedicaidIA

National Provider Directory

National Provider Directory

Locations

801 Harmony St
Ste 201
Council Bluffs, IA 51503
Phone (712) 323-1230

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1437196045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HARMONY ST",
            "address_2": "SUITE 201",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033106",
            "telephone_number": "712-323-1230",
            "fax_number": "712-323-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HARMONY ST",
            "address_2": "SUITE 201",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033106",
            "telephone_number": "712-323-1230",
            "fax_number": "712-323-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "SELVAKUMAR",
        "authorized_official_first_name": "VEDHAGIRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-323-1230"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092346",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.