Digestive Care for Children

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

DIGESTIVE CARE FOR CHILDREN

Doing business as

Pediatric Digestive Care of San Antonio

Practice address

109 Gallery Circle
Suite 115
San Antonio, TX 78258

Phone

(210) 614-3100

Fax

(210) 692-7667

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Eduardo Ibarguen-Secchia, M.D.

Title

President

Phone

(210) 614-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Digestive Care of San Antonio Doing business as

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1548389307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GALLERY CIRCLE",
            "address_2": "SUITE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-614-3100",
            "fax_number": "210-692-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 GALLERY CIRCLE",
            "address_2": "SUITE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-614-3100",
            "fax_number": "210-692-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE CARE FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "IBARGUEN-SECCHIA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-614-3100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081043401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Digestive Care of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stefanie Elizabeth Dietz, AA
• Marcia A Dietzel, DACM, L.AC
• Fatima Dieye
• Ramon Diez-Barroso Jr., MD
• Mary Shannon Difilippo
• Digestive Diseases Center of South Texas, PLLC
• Danielle Diggs
• Stevie Marie Digiacomo, ATC, LAT
• Domenic Enrico Digioia, DMD
• Heather A Digiovanni, PA-C

• Pediatric Gastroenterology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.