Digestive & Liver Clinic, PLLC.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

37920 Issued in KY

Legal business name

DIGESTIVE & LIVER CLINIC, PLLC.

Practice address

1360 W 5TH St
London, KY 40741-1615

Phone

(606) 877-1575

Fax

(606) 877-1582

NPI assigned

Jan 6, 2010

Last updated

Mar 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashok Kanthawar, MD

Title

Ceo

Phone

(606) 877-1575

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1770813164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 5TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411615",
            "telephone_number": "606-877-1575",
            "fax_number": "606-877-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 5TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411615",
            "telephone_number": "606-877-1575",
            "fax_number": "606-877-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE & LIVER CLINIC, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "KANTHAWAR",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-877-1575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "37920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "50008556",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "614933100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000654360",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100112810",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHI",
            "identifier": "C23095",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in London, KY
• Providers in London, KY by specialty
• Gastroenterology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.