Yuma Gastroenterology PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

YUMA GASTROENTEROLOGY PC

Practice address

1030 W 24TH St
Suite H
Yuma, AZ 85364-8345

Phone

(928) 344-4325

Fax

(928) 343-3084

NPI assigned

Jun 27, 2006

Last updated

Jan 16, 2008By 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

Divesh R Anireddy, MDNPI 1427094770

Title

Managing Partner

Phone

(928) 343-3084

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Divesh R Anireddy, MD

  • Gastroenterology Physician
  • Yuma, AZ
  • NPI 1427094770
  NPD (past) Authorized official

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1669409330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27340",
            "address_2": "PHOENIX",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850617340",
            "telephone_number": "602-943-9200",
            "fax_number": "602-216-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W 24TH ST",
            "address_2": "SUITE H",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648345",
            "telephone_number": "928-344-4325",
            "fax_number": "928-343-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "ANIREDDY",
        "authorized_official_first_name": "DIVESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "928-343-3084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907298",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5427531",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "112955",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5397003",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Yuma Health Care Services Inc (Yuma Regional Plaza Laboratory)
• Yuma Health Care Services, Inc (dba. Yuma Regional First Health Medical Supply)
• Yuma Hearing Inc. (Zounds Hearing Center)
• Yuma Hears LLC
• Yuma Heart and Medical Institute PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.