Gastroenterology Health Associates

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY HEALTH ASSOCIATES

Practice address

945 Main St Ste 202
Manchester, CT 06040-6064

Phone

(860) 871-6710

NPI assigned

Mar 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Dallaire

Title

Credentialing Manager

Phone

(401) 323-8755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 4

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.

• Alexia T Koudellou, MD

  • Gastroenterology Physician
  • Tolland, CT
  • NPI 1346278066
  Medicare reassignment Care Compare group NPD
• Candice T Pych, APRN

  • Family Nurse Practitioner
  • Manchester, CT
  • NPI 1871563098
  Medicare reassignment Care Compare group NPD
• Andrea Dufour

  • Family Nurse Practitioner
  • Springfield, MA
  • NPI 1679021273

  CT

  Medicare reassignment Care Compare group NPD
• Constantinos A Constantinou, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Vernon Rockville, CT
  • NPI 1871551978
  NPD (past)

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1922708015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405102",
            "telephone_number": "608-716-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 MAIN ST STE 202",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406064",
            "telephone_number": "860-871-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Fieldstone Cmns Ste D",
            "address_purpose": "LOCATION",
            "city": "Tolland",
            "state": "CT",
            "postal_code": "060843419",
            "country_code": "US",
            "telephone_number": "860-871-6710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTROENTEROLOGY HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DALLAIRE",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "401-323-8755"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew P Garrett, MD
• Marjorie A Garrett, MD
• Quintee L Garrett
• Anna Margaux Gasparini
• Gastroenterology Associates of Manchester, LLC
• Linda Fernald Gates, RD CDN
• Gabriela Gatica
• Sarah Gawronski
• Pamela Marie Gay, APRN
• Melissa Melonie Gayle, LMFT

• Gastroenterology Physician in Manchester, CT
• Providers in Manchester, CT by specialty
• Gastroenterology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.