Active NPI
Cleveland Gastroenterology Associates, P.a.
- Gastroenterology Physician
- Shelby, NC
National Provider Identifier
1518938240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- CLEVELAND GASTROENTEROLOGY ASSOCIATES, P.A.
- Practice address
- 808 N Washington St
Shelby, NC 28150-3858 - Phone
- (704) 480-0008
- Fax
- (704) 480-0010
- NPI assigned
- Jan 31, 2006
- Last updated
- Jun 11, 2019
- 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
- Miss Elizabeth Glover
- Title
- Office Manager
- Phone
- (704) 480-0008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NU | Primary |
Addresses
Primary practice location
808 N Washington St
Shelby, NC 28150-3858
Mailing address
808 N Washington St
Shelby, NC 28150-3858
Phone (704) 480-0008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890140G | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1518938240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 N WASHINGTON ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503858",
"telephone_number": "704-480-0008",
"fax_number": "704-480-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 N WASHINGTON ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503858",
"telephone_number": "704-480-0008",
"fax_number": "704-480-0010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND GASTROENTEROLOGY ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-31",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "GLOVER",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "704-480-0008",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890140G",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
- Cleveland Family Services
- Cleveland Family Services
- Cleveland Family Services Inc.
- Cleveland Family Services Inc.
- Cleveland Family Services Inc.
- Cleveland Health Ventures LLC (Klein Neurology and Sleep)
- Cleveland Health Ventures LLC (Shelby Family Practice)
- Cleveland Health Ventures LLC (Shelby Women's Care)
- Cleveland Health Ventures LLC (CHV SHVI Shelby)
- Cleveland Health Ventures LLC (Cleveland Plastic and Hand Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.