Gastroenterology Associates of Ithaca, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY ASSOCIATES OF ITHACA, PC

Practice address

2435 N Triphammer Rd
Ithaca, NY 14850-1047

Phone

(607) 272-5011

Fax

(607) 272-5861

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter T. Brennan, MD

Title

President

Phone

(607) 272-5011

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin Foor-Pessin, MD

  • Gastroenterology Physician
  • Ithaca, NY
  • NPI 1215290846
  Medicare reassignment NPD
• Kevin Patrick Jones, FNP

  • Family Nurse Practitioner
  • Ithaca, NY
  • NPI 1710524616
  Medicare reassignment NPD
• Brent D. Lemberg, MD

  • Gastroenterology Physician
  • Ithaca, NY
  • NPI 1710931654
  Medicare reassignment NPD
• Adam Robert Riordan

  • Gastroenterology Physician
  • Ithaca, NY
  • NPI 1508126988
  Medicare reassignment NPD
• Paige Robinson, DO

  • Gastroenterology Physician
  • Ithaca, NY
  • NPI 1548754617
  Medicare reassignment NPD
• Rachel Cunningham, PA

  • Medical Physician Assistant
  • Ithaca, NY
  • NPI 1376018077
  Medicare reassignment
• Kristin L Swanstrom, PA-C

  • Physician Assistant
  • Ithaca, NY
  • NPI 1992035216
  Medicare reassignment
• Carl Judson Kilgore, MD

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1871674762
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1538113709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501047",
            "telephone_number": "607-272-5011",
            "fax_number": "607-272-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501047",
            "telephone_number": "607-272-5011",
            "fax_number": "607-272-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF ITHACA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-272-5011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02423352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Garner, M.D.
• Crystal Garrett, L.M.T.
• Jamie Seth Gartenberg, D.D.S.
• Caleigh Garton
• Carol Gary
• Chet Gates-Lupton, LCSW
• Laura A. Gates-Lupton, MSW
• Keira Gaton Feliu, PA
• Joyleen Ann Gaustad, RN
• Robin Lee Gavin

• Gastroenterology Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.