Gastro Intestinal Consultants of Manhattan,P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

04-28673 Issued in KS

Legal business name

GASTRO INTESTINAL CONSULTANTS OF MANHATTAN,P.A.

Practice address

1213 Hylton Heights Rd
Suite 101
Manhattan, KS 66502-2810

Phone

(785) 539-0156

Fax

(785) 539-0177

NPI assigned

Jul 29, 2006

Last updated

Jun 21, 2018By 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

W Travis Dierenfeldt, MD

Title

Doctor

Phone

(785) 539-0156

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/tSoPH8IMQuFTAj8CJZrbUMvKrv1i9WlM/

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1861406175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HYLTON HEIGHTS RD",
            "address_2": "SUITE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022810",
            "telephone_number": "785-539-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HYLTON HEIGHTS RD",
            "address_2": "SUITE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022810",
            "telephone_number": "785-539-0156",
            "fax_number": "785-539-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO INTESTINAL CONSULTANTS OF MANHATTAN,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DIERENFELDT",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "785-539-0156",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-28673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200347640A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "337060",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100014893",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110814",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassody Garner
• Leslie Kaye Garner, PT
• Karen Elizabeth Garwood, M.A.,CCC-SLP/L
• Michael Garza, PHD
• Trevor Ryan Gaskill, M.D.
• Brandi Gates
• Coralee Marie Gehrt, APRN
• Heather L Generali, R.D.
• Ryan Gengler, DC
• Kaylee Nicole George, DC

• Specialist in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.