Gastroenterology Associates P C

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD020210 Issued in TN

Legal business name

GASTROENTEROLOGY ASSOCIATES P C

Practice address

148 Mount Pelia Rd
Martin, TN 38237-3812

Phone

(731) 587-5170

Fax

(731) 587-5270

NPI assigned

Oct 17, 2007

Last updated

Oct 20, 2010By 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. Nikhil R Patel, MDNPI 1104897032

Title

President

Phone

(731) 587-5170

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• northweat tennessee gastroenterology consultant Former legal business name

Locations

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.

• Nikhil R Patel, M.D.

  • Gastroenterology Physician
  • Martin, TN
  • NPI 1104897032
  Authorized official Same address or phone

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1518156397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MOUNT PELIA RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373812",
            "telephone_number": "731-587-5170",
            "fax_number": "731-587-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MOUNT PELIA RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373812",
            "telephone_number": "731-587-5170",
            "fax_number": "731-587-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIKHIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-587-5170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD020210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370162",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "3053871",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "northweat tennessee gastroenterology consultant",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Gary Brown (Children's Treatment Center)
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• Jacqueline Cultra Gilliam, PT
• Valerie Anna Gilliland, OTD/L

• Specialist in Martin, TN
• Providers in Martin, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.