NPIMap

Organization Active NPI

JCL Gastroenterology, LLC

  • Gastroenterology Physician
  • Phoenix, AZ
National Provider Identifier
1467696757
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
JCL GASTROENTEROLOGY, LLC
Doing business as
North Valley Gastroenterology
Practice address
19646 N. 27TH Ave.
Suite201
Phoenix, AZ 85027-0000
Phone
(623) 580-5390
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Gary R Grover
Title
Senior Vice President
Phone
(602) 216-6680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

19646 N. 27TH Ave.
Suite201
Phoenix, AZ 85027-0000

Mailing address

19646 N. 27TH Ave.
Suite201
Phoenix, AZ 85027-0000
Phone (623) 580-5390

Other names 1

  • North Valley Gastroenterology Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1467696757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19646 N. 27TH AVE.",
            "address_2": "SUITE201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850270000",
            "telephone_number": "623-580-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N. 27TH AVE.",
            "address_2": "SUITE201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850270000",
            "telephone_number": "623-580-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCL GASTROENTEROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "602-216-6680"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Valley Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.