Alabama Digestive Disorders Center, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ALABAMA DIGESTIVE DISORDERS CENTER, PC

Practice address

4601 Whitesburg Dr SE Ste 101
Huntsville, AL 35802-1677

Phone

(256) 882-7888

Fax

(256) 882-7886

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Smita S Shah, MDNPI 1063454817

Title

Gastroenterologist

Phone

(256) 882-7888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Crestwood Healthcare LP

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1023061496

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCJJAA

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Smita S Shah, MD

  • Gastroenterology Physician
  • Huntsville, AL
  • NPI 1063454817
  Medicare reassignment NPD Authorized official
• Lauren Michelle Foster, FNP MSN

  • Family Nurse Practitioner
  • Huntsville, AL
  • NPI 1083192421
  Medicare reassignment NPD
• Lindy Renae Christian, CRNP

  • Adult Health Nurse Practitioner
  • Huntsville, AL
  • NPI 1972755460
  NPD (past)
• Michael Patrick Dohrenwend, MD

  • Gastroenterology Physician
  • Huntsville, AL
  • NPI 1922089598
  NPD (past)
• Mark David Moglowsky, MD

  • Gastroenterology Physician
  • Huntsville, AL
  • NPI 1679527485
  NPD (past)
• Kay Parker-Phillips, MSN, CRNP

  • Nurse Practitioner
  • Birmingham, AL
  • NPI 1073718847
  NPD (past)
• Eghierhua A Ugheoke, M.D.

  • Gastroenterology Physician
  • Huntsville, AL
  • NPI 1588603955
  NPD (past)
• Bryan John Feyen, DO

  • Gastroenterology Physician
  • Ames, IA
  • NPI 1811042310
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1912946385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021677",
            "telephone_number": "256-882-7888",
            "fax_number": "256-882-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021677",
            "telephone_number": "256-882-7888",
            "fax_number": "256-882-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA DIGESTIVE DISORDERS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SMITA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GASTROENTEROLOGIST",
        "authorized_official_telephone_number": "256-882-7888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529801520",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.