Enid Gastroenterology, Inc., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

12331 Issued in OK

Legal business name

ENID GASTROENTEROLOGY, INC., P.C.

Practice address

330 S 5TH St
Suite 301
Enid, OK 73701-5825

Phone

(580) 234-0285

Fax

(580) 234-0590

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sanku Rohini, MD

Title

Office Manager

Phone

(582) 234-0285

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Enid Gastroenterology, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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

• Sanku S Rao, MD

  • Gastroenterology Physician
  • Enid, OK
  • NPI 1992864086

  OK

  Medicare reassignment NPD
• Sudhakar Ancha, M.D.

  • Gastroenterology Physician
  • Joplin, MO
  • NPI 1346395852
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1922019793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 5TH ST",
            "address_2": "SUITE 301",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015825",
            "telephone_number": "580-234-0285",
            "fax_number": "580-234-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 5TH ST",
            "address_2": "SUITE 301",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015825",
            "telephone_number": "580-234-0285",
            "fax_number": "580-234-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENID GASTROENTEROLOGY, INC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "ROHINI",
        "authorized_official_first_name": "SANKU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "582-234-0285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "12331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748230A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enid Gastroenterology, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Enid Eye Optical, Inc.
• Enid Heart Center Inc
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• Enid Internal Medicine Associates
• Enid Lung & Kidney Clinic PLLC
• Enid Medical Associates

• All providers in Enid, OK
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.