Active NPI
Igc IV PLLC
- Gastroenterology Physician
- Lowell, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- IGC IV PLLC
- Practice address
- 41 Wellman St Ste 400
Lowell, MA 01851-5161 - Phone
- (978) 459-6737
- Fax
- (855) 818-1869
- NPI assigned
- Dec 12, 2023
- Last updated
- Jan 8, 2025
- Organization subpart
- Yes
- Parent organization
- INTEGRATED GASTROENTEROLOGY CONSULTANTS, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard S Tilson, MD
- Title
- Ceo
- Phone
- (978) 459-6737
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
41 Wellman St Ste 400
Lowell, MA 01851-5161
Mailing address
41 Wellman St Ste 400
Lowell, MA 01851-5161
Phone (978) 459-6737
National Provider Directory
National Provider Directory- Part of
- Gastroenterolgoy Consul
Locations
41 Wellman St
Ste 400
Lowell, MA 01851
Phone (978) 459-6737
Practitioners & affiliated clinicians
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.
-
- Gastroenterology Physician
- Lowell, MA
- NPI 1346336831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1679341424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 WELLMAN ST STE 400",
"city": "LOWELL",
"state": "MA",
"postal_code": "018515161",
"telephone_number": "978-459-6737",
"fax_number": "855-818-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 WELLMAN ST STE 400",
"city": "LOWELL",
"state": "MA",
"postal_code": "018515161",
"telephone_number": "978-459-6737",
"fax_number": "855-818-1869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IGC IV PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTEGRATED GASTROENTEROLOGY CONSULTANTS, PC",
"enumeration_date": "2023-12-12",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "TILSON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "978-459-6737",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.