Organization Active NPI

Gastrointestinal Specialists,PC

  • Gastroenterology Physician
  • Vincennes, IN
National Provider Identifier
1508069543
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
02000873 Issued in IN
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100156710AMedicaidIN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.