Gastroenterology Associates PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY ASSOCIATES PC

Practice address

2222 53Rd Avenue
Bettendorf, IA 52753

Phone

(563) 383-2686

Fax

(563) 884-8144

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Erling Larson III, M.D.

Title

Medical Director

Phone

(563) 383-2686

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1821022161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 53RD AVENUE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52753",
            "telephone_number": "563-383-2686",
            "fax_number": "563-884-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 53RD AVENUE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52753",
            "telephone_number": "563-383-2686",
            "fax_number": "563-884-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ERLING",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "563-383-2686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0455097",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "71951",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nyshia Garcia, PA-C
• Mark Garden, LMHC
• Candi L Gardner, P.T.
• Ricky Lee Garrels, M.D.
• Mary E Gassman, RPH
• Gbank Health LLC
• Lynn Brian Geick, MD
• Genesis Health System
• Genesis Health System
• Genesis Health System

• All providers in Bettendorf, IA
• Gastroenterology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.