Piedmont Gastroenterology Specialists

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PIEDMONT GASTROENTEROLOGY SPECIALISTS

Practice address

305 E Lee Ave
Yadkinville, NC 27055-8132

Phone

(336) 760-4340

Fax

(336) 765-2869

NPI assigned

Aug 27, 2007

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
  • Kernersville, NC
  • NPI 1699968230
  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": "1760675318",
    "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": "271033921",
            "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": "305 E LEE AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558132",
            "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "01548",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "230194",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901548",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Partnership for a Drug Free NC Inc
• Partnership for a Drug Free NC, Inc.
• Partnership for a Drug Free NC, Inc.
• Partnership for a Drug Free NC, Inc.
• Angela Creel Peyton
• Piedmont Village at Yadkinville, Inc.
• Pinebrook Residential Center 1
• Pinebrook Residential Center 2
• Wendy June Pirk, LPN
• Carl J Porchey, MD

• Gastroenterology Physician in Yadkinville, NC
• Providers in Yadkinville, 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.