Organization Active NPI

Wabash Valley Gastroenterology, LLC

  • Gastroenterology Physician
  • Terre Haute, IN
National Provider Identifier
1720125065
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
WABASH VALLEY GASTROENTEROLOGY, LLC
Practice address
1600 N 3Rd St
Terre Haute, IN 47804-4045
Phone
(812) 235-3715
Fax
(812) 235-3742
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Robert N Murray, DO
Title
President
Phone
(812) 235-3715

Specialties & licenses 1

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

Addresses

Primary practice location

1600 N 3Rd St
Terre Haute, IN 47804-4045

Mailing address

1600 N 3Rd St
Terre Haute, IN 47804-4045
Phone (812) 235-3715

National Provider Directory

National Provider Directory

Locations

1600 N 3rd St
Terre Haute, IN 47804
Phone (812) 234-5048

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1720125065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N 3RD ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044045",
            "telephone_number": "812-235-3715",
            "fax_number": "812-235-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N 3RD ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044045",
            "telephone_number": "812-235-3715",
            "fax_number": "812-235-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH VALLEY GASTROENTEROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-235-3715",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.