Gut Endo, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Dothan, AL
NPI 1548844384 · NPPES record last updated May 5, 2022
Key facts
- NPI
- 1548844384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- GUT ENDO, LLC
- Practice address
- 301 Medical Park Boulevard
Dothan, AL 36301-3630 - Phone
- (334) 836-1212
- NPI assigned
- May 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Andrew Franklin
- Title
- Administrator
- Phone
- (334) 648-9665
Member of 1
Practitioners 5
-
Becky R Parker, CRNA
-
William H Hass, MD
-
Carmen Ryan, CRNA
-
Tamolette Jane Anderson, C.R.N.A.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Gut Endo LLC Dba Center for Digestive Health
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211021002608 | AL | Part B Supplier - Ambulatory Surgical Center | 0840688933 | Practice locations: Dothan, AL |
National Provider Directory
Locations
301 Medical Park Blvd
Dothan, AL 36301
Phone (334) 305-2699
Interoperability endpoints
- gastro480@directaddress.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
301 Medical Park Boulevard
Dothan, AL 36301-3630
Mailing address
480 Honeysuckle Rd
Dothan, AL 36305-1156
Phone (334) 836-1212
Other names
- Center For Digestive Health
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gastro480@directaddress.net | Direct | GUT PC |
Other providers in Dothan, AL
- Devin James Gullett
- Qamar Gulzar
- Luke H Gunter
- Sri Vidhya Gurrala
- Ganjur H Guru-Prakash
- Gut PC
- Gut PC
- Ramaseetha Gutta
- Jimmie Guyton
- Nelson Gwinn III
All providers in Dothan, AL · Ambulatory Surgical Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.