Gastroenterology and Liver Disease Center, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD000040546 Issued in TN

Legal business name

GASTROENTEROLOGY AND LIVER DISEASE CENTER, LLC

Practice address

2337 McCallie Ave
Suite 103
Chattanooga, TN 37404-3257

Phone

(423) 622-3494

Fax

(423) 622-3495

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Remi R Jaiyeola, MD

Title

Member/Director

Phone

(423) 622-3494

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1821207366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 MCCALLIE AVE",
            "address_2": "PLAZA ONE, SUITE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043257",
            "telephone_number": "423-622-3494",
            "fax_number": "423-622-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 MCCALLIE AVE",
            "address_2": "SUITE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043257",
            "telephone_number": "423-622-3494",
            "fax_number": "423-622-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND LIVER DISEASE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "JAIYEOLA",
        "authorized_official_first_name": "REMI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER/DIRECTOR",
        "authorized_official_telephone_number": "423-622-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD000040546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF TN",
            "identifier": "4185307",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714633754B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001310",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie A Garrison, PHARMD
• Victoria Cecile Garrison, MSW
• Vikki Lynn Garst, PTA
• Gaston Therapy, LLC
• Stephanie Susanna Gaston, RDN
• Gastroenterology Associates of Chattanooga, PC
• Cameron Herschel Gates Jr., D.O.
• Ginger Gates, CRNA
• Kaitlyn Gates, MD
• Rebecca Sue Gates, RN

• Gastroenterology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.