NPIMap

Organization Active NPI

Digestive Health Specialists PS

  • Gastroenterology Physician
  • Kent, WA
National Provider Identifier
1710149802
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE HEALTH SPECIALISTS PS
Practice address
17700 SE 272ND St
420
Kent, WA 98042-4951
Phone
(253) 639-9660
Fax
(253) 372-7072
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Nicholas Goralsky
Title
Chief Operating Officer
Phone
(253) 383-8342

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary
Clinical Medical Laboratory 291U00000X MTS-2274 WA
Clinical Medical Laboratory 291U00000X 50D0712074 WA

Addresses

Primary practice location

17700 SE 272ND St
420
Kent, WA 98042-4951

Mailing address

PO Box 1241
Tacoma, WA 98401-1241
Phone (253) 272-8148

Other identifiers 2

IdentifierTypeStateIssuer
CD8128OtherWARAILROAD MEDICARE #
7841604MedicaidWA

National Provider Directory

National Provider Directory

Locations

10004 204th Ave E
Ste 3400
Bonney Lake, WA 98391
Phone (253) 841-9640

1901 S Union Ave
Ste B4006
Tacoma, WA 98405
Phone (253) 383-8342

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1710149802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1241",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984011241",
            "telephone_number": "253-272-8148",
            "fax_number": "253-404-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 SE 272ND ST",
            "address_2": "420",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980424951",
            "telephone_number": "253-639-9660",
            "fax_number": "253-372-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH SPECIALISTS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "GORALSKY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "253-383-8342"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "MTS-2274",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "50D0712074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "CD8128",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7841604",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.