Digestive Diseases Center of South Texas, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DIGESTIVE DISEASES CENTER OF SOUTH TEXAS, PLLC

Practice address

621 Camden St
San Antonio, TX 78215-1612

Phone

(210) 253-3422

Fax

(210) 227-9833

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ravi Botla, M.D.

Title

President

Phone

(210) 253-3422

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.

• Michael Roy France, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1275603565
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1679671994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17650",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782170650",
            "telephone_number": "210-253-3422",
            "fax_number": "210-227-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151612",
            "telephone_number": "210-253-3422",
            "fax_number": "210-227-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASES CENTER OF SOUTH TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "BOTLA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-253-3422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085153702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00T16Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia A Dietzel, DACM, L.AC
• Fatima Dieye
• Ramon Diez-Barroso Jr., MD
• Mary Shannon Difilippo
• Digestive Care for Children
• Danielle Diggs
• Stevie Marie Digiacomo, ATC, LAT
• Domenic Enrico Digioia, DMD
• Heather A Digiovanni, PA-C
• Dignified Care, LLC

• Gastroenterology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.