Active NPI
Gastrointestinal Specialists,PC
- Gastroenterology Physician
- Vincennes, IN
National Provider Identifier
1508069543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 02000873
- Legal business name
- GASTROINTESTINAL SPECIALISTS,PC
- Practice address
- 1813 Willow St
Suite 5 B
Vincennes, IN 47591-4267 - Phone
- (812) 882-2703
- Fax
- (812) 882-2760
- NPI assigned
- Jun 7, 2007
- Last updated
- Jul 1, 2009
- 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
- Rebecca Morancey
- Title
- Office Manager
- Phone
- (812) 882-2703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 02000873 | IN | Primary |
Addresses
Primary practice location
1813 Willow St
Suite 5 B
Vincennes, IN 47591-4267
Mailing address
1813 Willow St
Suite 5 B
Vincennes, IN 47591-4267
Phone (812) 882-2703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100156710A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1813 Willow St
Ste 5B
Vincennes, IN 47591
Phone (812) 882-2703
406 N 1st St
Ste G
Vincennes, IN 47591
Phone (812) 882-1106
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.
-
- Gastroenterology Physician
- Vincennes, IN
- NPI 1972504629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246406400000",
"number": "1508069543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 WILLOW ST",
"address_2": "SUITE 5 B",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475914267",
"telephone_number": "812-882-2703",
"fax_number": "812-882-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 WILLOW ST",
"address_2": "SUITE 5 B",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475914267",
"telephone_number": "812-882-2703",
"fax_number": "812-882-2760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROINTESTINAL SPECIALISTS,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2009-07-01",
"status": "A",
"authorized_official_last_name": "MORANCEY",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "812-882-2703"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "02000873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100156710A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.