Randolph Gastoenterology Center PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

9700067 Issued in NC

Legal business name

RANDOLPH GASTOENTEROLOGY CENTER PA

Practice address

600 W Salisbury St Ste C
Asheboro, NC 27203-5591

Phone

(336) 629-3313

Fax

(336) 629-9002

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh Gupta, MD

Title

President

Phone

(336) 629-3313

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.

• Sean Christopher McCarthy, M.D

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1952581019
  NPD
• Anjali Lala Gupta, MD

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1699966556
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1518090331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4485",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272044485",
            "telephone_number": "336-629-3313",
            "fax_number": "336-629-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SALISBURY ST STE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035591",
            "telephone_number": "336-629-3313",
            "fax_number": "336-629-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH GASTOENTEROLOGY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-629-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "9700067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891145Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph County Health Department
• Randolph County Schools
• Randolph County Senior Adults Association, Inc.
• Randolph Ear, Nose & Throat Associates, P.a.
• Randolph Fellowship Home Inc.
• Randolph Hospital Inc
• Randolph Hospital Inc
• Randolph Hospital Inc.
• Randolph Hospital Inc.
• Randolph Hospital Inc.

• Gastroenterology Physician in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.