Active NPI
Digestive Diseases Clinic PC
- Gastroenterology Physician
- Athens, GA
National Provider Identifier
1851584288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- DIGESTIVE DISEASES CLINIC PC
- Practice address
- 170 Hawthorne Park
Athens, GA 30606-2147 - Phone
- (706) 549-1222
- Fax
- (706) 549-9975
- NPI assigned
- Aug 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ranjit Cherian Mathew, MD
- Title
- Owner-President
- Phone
- (706) 549-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
170 Hawthorne Park
Athens, GA 30606-2147
Mailing address
170 Hawthorne Park
Athens, GA 30606-2147
Phone (706) 549-1222
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1851584288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 HAWTHORNE PARK",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062147",
"telephone_number": "706-549-1222",
"fax_number": "706-549-9975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 HAWTHORNE PARK",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062147",
"telephone_number": "706-549-1222",
"fax_number": "706-549-9975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE DISEASES CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "RANJIT",
"authorized_official_middle_name": "CHERIAN",
"authorized_official_title_or_position": "OWNER-PRESIDENT",
"authorized_official_telephone_number": "706-549-1222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.