Active NPI
Shoals Gastroenterology LLC
- Gastroenterology Physician
- Sheffield, AL
National Provider Identifier
1780011668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- SHOALS GASTROENTEROLOGY LLC
- Practice address
- 1120 S Jackson Hwy
Suite 201
Sheffield, AL 35660-5777 - Phone
- (256) 381-6304
- Fax
- (256) 381-6307
- NPI assigned
- Oct 8, 2013
- Last updated
- Oct 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abhinandana Anantharaju
- Title
- Sole Member/Physician
- Phone
- (256) 381-6304
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Gastroenterology Physician | 207RG0100X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1120 S Jackson Hwy
Suite 201
Sheffield, AL 35660-5777
Mailing address
PO Box 298
Florence, AL 35631-0298
Phone (256) 767-7494
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Denton, TX
- NPI 1477657070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381190400000",
"number": "1780011668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 298",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356310298",
"telephone_number": "256-767-7494",
"fax_number": "256-765-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S JACKSON HWY",
"address_2": "SUITE 201",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356605777",
"telephone_number": "256-381-6304",
"fax_number": "256-381-6307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOALS GASTROENTEROLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-08",
"last_updated": "2013-10-08",
"status": "A",
"authorized_official_last_name": "ANANTHARAJU",
"authorized_official_first_name": "ABHINANDANA",
"authorized_official_title_or_position": "SOLE MEMBER/PHYSICIAN",
"authorized_official_telephone_number": "256-381-6304",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheffield, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.