Digestive Health Center of Indiana, P.C.

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

1882 Issued in PA

Legal business name

DIGESTIVE HEALTH CENTER OF INDIANA, P.C.

Practice address

1265 Wayne Ave
Suite 304
Indiana, PA 15701-3501

Phone

(724) 465-6384

Fax

(724) 465-6364

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Lynne M Adams, CMA

Title

Business Manager/Administrator

Phone

(724) 465-6384

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Digestive Health Center of Indiana PCCCN 39C0001205

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• Shirish A Amin, MD

  • Gastroenterology Physician
  • Indiana, PA
  • NPI 1114903994
  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1578518247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "SUITE 304",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-465-6384",
            "fax_number": "724-465-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "SUITE 304",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-465-6384",
            "fax_number": "724-465-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH CENTER OF INDIANA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "724-465-6384",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "PA",
            "license": "1882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1882",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1830947",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0442",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamond Drugs, Inc.
• Diamond Drugs, Inc.
• Diamond Drugs, Inc.
• James Dickson, MD
• Lisa Joan Diefenbach, PSY.D.
• Sara Dilascio, PHARMD
• Scott F. Dills, D.D.S.
• Kathreen Dimattia
• Gregory Doke
• Julia Maria Donatelli, PA-C

• Endoscopy Clinic/Center in Indiana, PA
• Providers in Indiana, PA by specialty
• Endoscopy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.