Yuma Gastro LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

YUMA GASTRO LLC

Practice address

1390 W 16TH St
Yuma, AZ 85364-4430

Phone

(928) 344-4325

Fax

(928) 344-3084

NPI assigned

May 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Divesh R. Anireddy, M.D.

Title

Secretary

Phone

(928) 726-5151

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cyrus M Ombaire, APRN

  • Nurse Practitioner
  • Wenatchee, WA
  • NPI 1609358290
  NPD
• Adam Toller, PA

  • Physician Assistant
  • Provo, UT
  • NPI 1477971281
  NPD

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1497074173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 W 16TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644430",
            "telephone_number": "928-344-4325",
            "fax_number": "928-344-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 W 16TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644430",
            "telephone_number": "928-344-4325",
            "fax_number": "928-344-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA GASTRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "ANIREDDY",
        "authorized_official_first_name": "DIVESH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "928-726-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529143",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuma Eyecare Group LLC
• Yuma Family Dental, PLLC
• Yuma Family Practice PLC
• Yuma Flas Phcy
• Yuma Foot & Ankle Care, Inc.
• Yuma Gastroenterology PC
• Yuma Health Care Services Inc
• Yuma Health Care Services, Inc
• Yuma Hearing Inc.
• Yuma Hears LLC

• Gastroenterology Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.