Piedmont Gastroenterology Specialists

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PIEDMONT GASTROENTEROLOGY SPECIALISTS

Practice address

445 Pineview Dr
Suite 230
Kernersville, NC 27284-3817

Phone

(336) 760-4340

Fax

(336) 765-2869

NPI assigned

Aug 27, 2007

Last updated

Aug 27, 2007By 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

Mrs. Anita L Hauser

Title

Office Manager

Phone

(336) 714-3563

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Piedmont Gastroenterology Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Piedmont Gastroenterology Specialists

  • Gastroenterology Physician
  • Yadkinville, NC
  • NPI 1760675318
  NPD tax ID

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1699968230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD",
            "address_2": "SUITE 310",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033915",
            "telephone_number": "336-760-4340",
            "fax_number": "336-765-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PINEVIEW DR",
            "address_2": "SUITE 230",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843817",
            "telephone_number": "336-760-4340",
            "fax_number": "336-765-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT GASTROENTEROLOGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-714-3563",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901548",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "230194",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01548",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Piedmont Counseling Center
• Piedmont Triad Family Medicine, PA
• Piedmont Triad Regional Council
• Piedmont Triad Regional Development Corporation
• Pierce Villa of Shuler Health Care, Inc.
• Pinnacle Parenting ABA LLC

• Gastroenterology Physician in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.