Organization Active NPI

Alan F. Shikoh, M.D., P.C

Doing business as Digestive Disease Consultants

  • Gastroenterology Physician
  • Chattanooga, TN
National Provider Identifier
1740339936
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ALAN F. SHIKOH, M.D., P.C
Doing business as
Digestive Disease Consultants
Practice address
721 Glenwood Dr
Suite W473
Chattanooga, TN 37404-1106
Phone
(423) 495-4730
Fax
(423) 495-4733
NPI assigned
Jan 9, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mrs. Carolyn F. Nelson
Title
Practice Manager
Phone
(423) 495-4730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X TN Primary

Addresses

Primary practice location

721 Glenwood Dr
Suite W473
Chattanooga, TN 37404-1106

Mailing address

721 Glenwood Dr
Suite W473
Chattanooga, TN 37404-1106
Phone (423) 495-4730

Other identifiers 1

IdentifierTypeStateIssuer
3731329MedicaidTN

Other names 1

  • Digestive Disease Consultants Doing business as

National Provider Directory

National Provider Directory

Locations

721 Glenwood Dr
Ste W473
Chattanooga, TN 37404
Phone (423) 495-4730

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1740339936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR",
            "address_2": "SUITE W473",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041106",
            "telephone_number": "423-495-4730",
            "fax_number": "423-495-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR",
            "address_2": "SUITE W473",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041106",
            "telephone_number": "423-495-4730",
            "fax_number": "423-495-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN F. SHIKOH, M.D., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "423-495-4730",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3731329",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Disease Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 13, 2008; 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.