Gastro East Physicians, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

207RG0100X Issued in KY

Legal business name

GASTRO EAST PHYSICIANS, PLLC

Practice address

3950 Kresge Way
Ste 207
Louisville, KY 40207-4637

Phone

(502) 893-0220

Fax

(502) 893-0563

NPI assigned

Jun 20, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin J. Heine, M.D.NPI 1619974292

Title

President

Phone

(502) 893-0220

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, and the practitioner matching its NPPES authorized official.

• Kevin J Heine, MD

  • Gastroenterology Physician
  • Louisville, KY
  • NPI 1619974292
  Authorized official Same address or phone
• Laszlo J. Makk, MD

  • Gastroenterology Physician
  • Louisville, KY
  • NPI 1235135955
  NPD

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508861139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 KRESGE WAY",
            "address_2": "STE 207",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074637",
            "telephone_number": "502-893-0220",
            "fax_number": "502-893-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 KRESGE WAY",
            "address_2": "STE 207",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074637",
            "telephone_number": "502-893-0220",
            "fax_number": "502-893-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO EAST PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-893-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "207RG0100X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65938243",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broghan Kaylynne Gasser
• Elizabeth Mann Gasser, PA-C
• Abby Gassman, OTR/L
• Lauren Gassman
• Audrey Gast, MFT
• Bailey Rose Gatens
• Amy M Gates
• Catherine Gates, NP
• Jeremiah Gates Jr., D.M.D.
• Lonna Marie Gates, MA, CCC-SLP

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.