Active NPI
Digestive Disease Specialists Inc
- Gastroenterology Physician
- Hazelwood, MO
National Provider Identifier
1912043373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R5990
- Legal business name
- DIGESTIVE DISEASE SPECIALISTS INC
- Practice address
- 100 Village SQ
Hazelwood, MO 63042-1820 - Phone
- (314) 355-4010
- Fax
- (314) 355-9484
- NPI assigned
- Jan 30, 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
- David M Margolis, MD
- Title
- MD
- Phone
- (314) 355-4010
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | R5990 | MO | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MO |
Addresses
Primary practice location
100 Village SQ
Hazelwood, MO 63042-1820
Mailing address
100 Village SQ
Hazelwood, MO 63042-1820
Phone (314) 355-4010
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297296000000",
"number": "1912043373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 VILLAGE SQ",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421820",
"telephone_number": "314-355-4010",
"fax_number": "314-355-9484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VILLAGE SQ",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421820",
"telephone_number": "314-355-4010",
"fax_number": "314-355-9484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE DISEASE SPECIALISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2011-02-10",
"status": "A",
"authorized_official_last_name": "MARGOLIS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "314-355-4010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "R5990",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazelwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.