Organization Active NPI

Hepato-Gastroenterology Assoc PA

  • Gastroenterology Physician
  • Overland Park, KS
National Provider Identifier
1477517597
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0415236 Issued in KS
Legal business name
HEPATO-GASTROENTEROLOGY ASSOC PA
Practice address
4601 W 109TH Street
Suite 206
Overland Park, KS 66211
Phone
(913) 451-5770
Fax
(913) 451-4953
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Asghar M Chaudhary, MD FACP FACG
Title
President
Phone
(913) 451-5770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 0415236 KS Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 34217 MO

Addresses

Primary practice location

4601 W 109TH Street
Suite 206
Overland Park, KS 66211

Mailing address

4601 W 109TH Street
Suite 206
Overland Park, KS 66211
Phone (913) 451-5770

Other identifiers 2

IdentifierTypeStateIssuer
100000740AMedicaidKS
200437804MedicaidMO

National Provider Directory

National Provider Directory

Locations

4601 W 109th St
Ste 206
Overland Park, KS 66211
Phone (913) 339-6255

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1477517597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W 109TH STREET",
            "address_2": "SUITE 206",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-451-5770",
            "fax_number": "913-451-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W 109TH STREET",
            "address_2": "SUITE 206",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-451-5770",
            "fax_number": "913-451-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEPATO-GASTROENTEROLOGY ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "ASGHAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-451-5770",
        "authorized_official_credential": "MD FACP FACG"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "0415236",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "34217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000740A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437804",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.