Jasper Gastroenterology Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

18745 Issued in AL

Legal business name

JASPER GASTROENTEROLOGY INC.

Practice address

3400 Highway 78 E
Gi Clinic, Walker Baptist Medical Center
Jasper, AL 35501-8907

Phone

(205) 387-4000

NPI assigned

Oct 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harshad D Patel, M.D.

Title

Ceo

Phone

(949) 331-2996

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851473714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GRASSLAND",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202839",
            "telephone_number": "949-679-2377",
            "fax_number": "949-679-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "GI CLINIC, WALKER BAPTIST MEDICAL CENTER",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-387-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER GASTROENTEROLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSHAD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-331-2996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "18745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "515-27446",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• Gastroenterology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.