Tri-City Gastroenterology PLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

TRI-CITY GASTROENTEROLOGY PLC

Practice address

5350 Distinction Way
Prescott, AZ 86301-8418

Phone

(928) 445-4066

NPI assigned

Jan 24, 2019

Last updated

Aug 12, 2019By 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

Ching Angela Wang, MD

Title

Medical Doctor

Phone

(928) 445-4066

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Richard Pleva, M.D.

  • Gastroenterology Physician
  • Prescott, AZ
  • NPI 1194700914
  NPD

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1598229593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30444",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860030444",
            "telephone_number": "928-266-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 DISTINCTION WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018418",
            "telephone_number": "928-445-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 Golf Links Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863018117",
            "country_code": "US",
            "telephone_number": "928-713-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-CITY GASTROENTEROLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHING ANGELA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "928-445-4066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0732200",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769789",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billy Charles Travis
• Susan F. Tredwell
• Kevin Treto, M.D.
• Colleen M Tretton, LPC, SEP
• Tri City Surgery Center LLC
• Tricity Dental (Distinctive Dental Care)
• Ervin Trilles, D.D.S.
• Triton Care Systems PLLC (Triton Eye Care)
• Shannon Tromp
• Gary Wood Troutman, D.D.S.

• Gastroenterology Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.