Tri State Gastroenterology, P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

TRI STATE GASTROENTEROLOGY, P.C.

Practice address

1225 Hancock Rd
Suite 205
Bullhead City, AZ 86442-5948

Phone

(928) 763-1680

Fax

(928) 763-8511

NPI assigned

Feb 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. Altaf Jan, M.D.NPI 1922072404

Title

President

Phone

(928) 763-1680

Specialties & licenses 1

Addresses

Practitioners 1

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

• Altaf Jan, M.D.

  • Gastroenterology Physician
  • Sacramento, CA
  • NPI 1922072404
  NPD (past) Authorized official

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1922071687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850617340",
            "telephone_number": "602-943-9200",
            "fax_number": "602-216-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD",
            "address_2": "SUITE 205",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425948",
            "telephone_number": "928-763-1680",
            "fax_number": "928-763-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE GASTROENTEROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "ALTAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-763-1680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Travis, DC
• Treatment Assessment Screening Center, Inc.
• Judith L Trevisano, AGNP
• Tri State Anesthesia Associates PLC
• Tri State Audiology & Vestibular Center
• Tri-State OB-GYN PC
• Tri-State Orthopedic Institute, P.C.
• Tri-State Physical Therapy Services Inc
• Tri-State Radiation Oncology, Inc.
• Tri-State Respiratory Inc

• Gastroenterology Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.