Digestive Disease Care Center, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

2004001639 Issued in MO

Legal business name

DIGESTIVE DISEASE CARE CENTER, LLC

Practice address

300 Medical PLZ
Suite 100
Lake St Louis, MO 63367-1481

Phone

(636) 625-8300

Fax

(636) 625-8301

NPI assigned

Jun 8, 2009

Last updated

Jun 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Qaiser Jawaid, MDNPI 1437110681

Title

President

Phone

(636) 625-8300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Qaiser Jawaid, M.D.

  • Gastroenterology Physician
  • O'Fallon, MO
  • NPI 1437110681
  NPD (past) Authorized official

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1578799235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PLZ",
            "address_2": "SUITE 100",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671481",
            "telephone_number": "636-625-8300",
            "fax_number": "636-625-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PLZ",
            "address_2": "SUITE 100",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671481",
            "telephone_number": "636-625-8300",
            "fax_number": "636-625-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "JAWAID",
        "authorized_official_first_name": "QAISER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-625-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2004001639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie A Dawson
• Rigoberto De Jesus Pizarro
• Terrence Joseph Dee III, PHARM. D.
• Stephanie Heavener Denton, D.C.
• Lauren Taylor Dickman
• Digestive Disease Medical Consultants, PC
• Jeffrey Michael Ditter, NP
• Jordyn Elaine Dolan, MS CCC-SLP
• Brittany Dukes, MD
• Dva Healthcare Renal Care Inc (Lake St Louis Dialysis)

• Gastroenterology Physician in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Gastroenterology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.