Active NPI
Metro East Gastroenterology LTD
- Gastroenterology Physician
- Belleville, IL
National Provider Identifier
1447590328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036095427
- Legal business name
- METRO EAST GASTROENTEROLOGY LTD
- Practice address
- 311 W Lincoln St Ste 101
Belleville, IL 62220-1902 - Phone
- (618) 222-3200
- Fax
- (618) 222-3203
- NPI assigned
- Feb 28, 2013
- 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
- Dr. Aaron B Greenspan, MD
- Title
- President
- Phone
- (618) 222-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036095427 | IL | Primary |
Addresses
Primary practice location
311 W Lincoln St Ste 101
Belleville, IL 62220-1902
Mailing address
311 W Lincoln St Ste 101
Belleville, IL 62220-1902
Phone (618) 222-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036095427 | Medicaid | IL |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Certified Registered Nurse Anesthetist
- Belleville, IL
- NPI 1356760946
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Belleville, IL
- NPI 1841241676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643068800000",
"number": "1447590328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W LINCOLN ST STE 101",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201902",
"telephone_number": "618-222-3200",
"fax_number": "618-222-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W LINCOLN ST STE 101",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201902",
"telephone_number": "618-222-3200",
"fax_number": "618-222-3203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO EAST GASTROENTEROLOGY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-28",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A",
"authorized_official_last_name": "GREENSPAN",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-222-3200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036095427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036095427",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.