Organization Active NPI

Gastroenterology Consultants Inc

  • Gastroenterology Physician
  • Edwardsville, PA
National Provider Identifier
1881621027
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY CONSULTANTS INC
Practice address
490 Northampton St
Gateway Suite 1
Edwardsville, PA 18704-4551
Phone
(570) 288-8100
Fax
(570) 288-7987
NPI assigned
Jun 26, 2006
Last updated
Jun 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Authorized official

Name
Ann Marie Bianca
Title
Practice Administrator
Phone
(570) 288-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

490 Northampton St
Gateway Suite 1
Edwardsville, PA 18704-4551

Mailing address

490 Northampton St
Gateway Suite 1
Edwardsville, PA 18704-4551
Phone (570) 288-8100

National Provider Directory

National Provider Directory

Locations

490 Northampton St
Ste 1
Kingston, PA 18704
Phone (570) 288-8100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1881621027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON ST",
            "address_2": "GATEWAY SUITE 1",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044551",
            "telephone_number": "570-288-8100",
            "fax_number": "570-288-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON ST",
            "address_2": "GATEWAY SUITE 1",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044551",
            "telephone_number": "570-288-8100",
            "fax_number": "570-288-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "BIANCA",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "570-288-8100"
    },
    "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 Edwardsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.