Organization Active NPI

Digestive Disease Associates, LTD

  • Gastroenterology Physician
  • Wyomissing, PA
National Provider Identifier
1699742080
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE DISEASE ASSOCIATES, LTD
Practice address
1011 Reed Ave
Suite 300
Wyomissing, PA 19610-2002
Phone
(610) 374-4401
Fax
(610) 374-7140
NPI assigned
Mar 3, 2006
Last updated
Jan 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Christine L Yoder
Title
Administrator
Phone
(610) 374-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1011 Reed Ave
Suite 300
Wyomissing, PA 19610-2002

Mailing address

1011 Reed Ave
Suite 300
Wyomissing, PA 19610-2002
Phone (610) 374-4401

Other identifiers 1

IdentifierTypeStateIssuer
1007424690003MedicaidPA

National Provider Directory

National Provider Directory

Locations

1011 W Baltimore Pike
Ste 101
West Grove, PA 19390
Phone (610) 374-4401

301 S 7th Ave
Ste 215
West Reading, PA 19611
Phone (610) 374-4401

1011 Reed Ave
Ste 300
Wyomissing, PA 19610
Phone (610) 374-4401

2230 Ridgewood Rd
Ste 100
Wyomissing, PA 19610
Phone (610) 374-4001

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1699742080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 REED AVE",
            "address_2": "SUITE 300",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102002",
            "telephone_number": "610-374-4401",
            "fax_number": "610-374-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 REED AVE",
            "address_2": "SUITE 300",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102002",
            "telephone_number": "610-374-4401",
            "fax_number": "610-374-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-374-4401"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007424690003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.