Southwest Gastroenterology, S.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SOUTHWEST GASTROENTEROLOGY, S.C.

Practice address

9921 Southwest Hwy
Oak Lawn, IL 60453-3767

Phone

(708) 499-5678

Fax

(708) 499-5685

NPI assigned

Sep 18, 2008

Organization subpart

No

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

Authorized official

Name

Jeffrey Port, M.D.

Title

President

Phone

(708) 499-5678

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas A Lee, MD

  • Specialist
  • Oak Lawn, IL
  • NPI 1144229949
  NPD
• Debbie T Leung, PA

  • Physician Assistant
  • Joliet, IL
  • NPI 1861653602
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1821247495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533767",
            "telephone_number": "708-499-5678",
            "fax_number": "708-499-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533767",
            "telephone_number": "708-499-5678",
            "fax_number": "708-499-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST GASTROENTEROLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "PORT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-499-5678",
        "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": [],
    "endpoints": [],
    "other_names": []
}

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• Southwest Chiropractic Rehabilitation Center LTD
• Southwest Foot Ankle, LLC
• Southwest Hematology-Oncology Consultant, SC
• Southwest Hospitals MRI, Inc.
• Southwest Management
• Southwest Medical Consultants, S.C.
• Southwest Medical Solutions Inc

• Gastroenterology Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.