Digestive Health Specialists, PA
Organization Active NPI Gastroenterology Physician · Winston-Salem, NC
NPI 1801837745 · NPPES record last updated May 17, 2017
Key facts
- NPI
- 1801837745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 40100 (NC)
- Legal business name
- DIGESTIVE HEALTH SPECIALISTS, PA
- Practice address
- 2025 Frontis Plaza Blvd
Suite 200
Winston-Salem, NC 27103-5663 - Phone
- (336) 768-6211
- Fax
- (336) 768-6869
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Jacquelyn Tillinger
- Title
- Ceo
- Phone
- (336) 768-6211
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 3
Practitioners 28
-
Jeremy Thomas Gillespie, M.D.
-
Marcum G Gillis, MD
-
Ingrid Gonzalez, M.D.
-
Christopher Jue, MD
-
Nicholas Adam Netherland, M.D.
-
Michael George Noujaim, M.D.
-
Apsara Prasad, M.D.
-
Dhyan Rajan, MD
-
David B. Ramsay IV, M.D.
-
Neal Sharma, MD
-
Ramya Muralimohan Vestal, M.D.
-
Jerald Luke Winter, M.D.
-
Gregory Allen Barton, PA-C
-
Amanda Cairnes, PA
-
Karl Anthony Pleasant, PA-C
-
Austin Clay Pope, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040610000265 | NC | Part B Supplier - Clinic/Group Practice | 6507849601 |
Receives reassigned benefits from 28 practitioners 5 other NPIs on this enrollment Practice locations: Thomasville, NC; Winston Salem, NC; King, NC; Advance, NC; Kernersville, NC |
National Provider Directory
Locations
112 Kinderton Blvd
#100
Advance, NC 27006
Phone (336) 765-0155
280 Broad St
Ste G
Kernersville, NC 27284
137 Mount Calvary Rd
#A
Thomasville, NC 27360
137 Mount Calvary Rd
Thomasville, NC 27360
37 N 5th St
#39
Gettysburg, PA 17325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | 40100 | NC | Yes |
Addresses
Primary practice location
2025 Frontis Plaza Blvd
Suite 200
Winston-Salem, NC 27103-5663
Mailing address
2025 Frontis Plaza Blvd Ste 200
Winston Salem, NC 27103-5663
Phone (336) 768-6211
Other providers in Winston-Salem, NC
- Karee Diem
- Jamie Arton Dietrich
- Lucas Alan Dietrich
- Trent Walker Dietsche
- Digestive Health Specialists, PA
- Ashley Diggs
- Supreme Essence Diggs
- Digitrace Care Services Inc
- Dignity Plus Home Care Corporation
- Francois Victor Dijour
All providers in Winston-Salem, NC · Gastroenterology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.