Organization Active NPI

Digestive Health Associates, PC

  • Gastroenterology Physician
  • Chattanooga, TN
National Provider Identifier
1710080973
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20740 Issued in TN
Legal business name
DIGESTIVE HEALTH ASSOCIATES, PC
Practice address
2515 Desales Ave
Suite 206
Chattanooga, TN 37404-1100
Phone
(423) 698-8101
Fax
(423) 698-3450
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Vijay P Patel, M.D.
Title
President
Phone
(423) 698-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 20740 TN Primary

Addresses

Primary practice location

2515 Desales Ave
Suite 206
Chattanooga, TN 37404-1100

Mailing address

2515 Desales Ave
Suite 206
Chattanooga, TN 37404-1100
Phone (423) 698-8101

Other identifiers 8

IdentifierTypeStateIssuer
1932181245OtherTNNPI FOR DONALD HETZEL, MD
103I502664OtherTNTN MEDICARE SHANNON FAIRES
1649558081OtherNPI DESTIN GRIFFIN TRUSSELL
1316226616OtherNPI SHANNON FAIRES
1538141411OtherTNNPI FOR JAMES S MANTON MD
1558343434OtherTNNPI FOR VIJAY PATEL, MD
103I502665OtherTNMEDICARE DESTIN GRIFFIN TRUSSELL
3723922MedicaidTN

National Provider Directory

National Provider Directory

Locations

101 Gross Crescent Cir
Ste 302
Fort Oglethorpe, GA 30742
Phone (706) 861-5999

725 Glenwood Dr
Ste E582
Chattanooga, TN 37404
Phone (423) 698-8101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1710080973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 DESALES AVE",
            "address_2": "SUITE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041100",
            "telephone_number": "423-698-8101",
            "fax_number": "423-698-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 DESALES AVE",
            "address_2": "SUITE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041100",
            "telephone_number": "423-698-8101",
            "fax_number": "423-698-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-698-8101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "20740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DONALD HETZEL, MD",
            "identifier": "1932181245",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN MEDICARE SHANNON FAIRES",
            "identifier": "103I502664",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DESTIN GRIFFIN TRUSSELL",
            "identifier": "1649558081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SHANNON FAIRES",
            "identifier": "1316226616",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR JAMES S MANTON MD",
            "identifier": "1538141411",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR VIJAY PATEL, MD",
            "identifier": "1558343434",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DESTIN GRIFFIN TRUSSELL",
            "identifier": "103I502665",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723922",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.