Active NPI
Clarksville Gastroenterology PC
- Gastroenterology Physician
- Clarksville, TN
National Provider Identifier
1619129285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD17866
- Legal business name
- CLARKSVILLE GASTROENTEROLOGY PC
- Practice address
- 132 Hillcrest Dr
Clarksville, TN 37043-5000 - Phone
- (931) 552-0180
- Fax
- (931) 572-0915
- NPI assigned
- Oct 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Glassell, MSN,RN
- Title
- Office Manager
- Phone
- (931) 552-0180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD17866 | TN | Primary |
Addresses
Primary practice location
132 Hillcrest Dr
Clarksville, TN 37043-5000
Mailing address
132 Hillcrest Dr
Clarksville, TN 37043-5000
Phone (931) 552-0180
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1619129285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 HILLCREST DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435000",
"telephone_number": "931-552-0180",
"fax_number": "931-572-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 HILLCREST DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435000",
"telephone_number": "931-552-0180",
"fax_number": "931-572-0915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARKSVILLE GASTROENTEROLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "GLASSELL",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "931-552-0180",
"authorized_official_credential": "MSN,RN"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "MD17866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.