Organization Active NPI

Gastrointestinal Health Associates

  • Gastroenterology Physician
  • Geneva, IL
National Provider Identifier
1942207907
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0055909-1 Issued in IL
Legal business name
GASTROINTESTINAL HEALTH ASSOCIATES
Practice address
302 Randall Rd
Suite 308
Geneva, IL 60134-4209
Phone
(630) 208-7388
Fax
(630) 208-4818
NPI assigned
Jul 6, 2005
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Carlos A Rodriguez, M.D.
Title
Member
Phone
(630) 208-7388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0055909-1 IL Primary

Addresses

Primary practice location

302 Randall Rd
Suite 308
Geneva, IL 60134-4209

Mailing address

302 Randall Rd
Suite 308
Geneva, IL 60134-4209
Phone (630) 208-7388

Other identifiers 2

IdentifierTypeStateIssuer
4532084OtherILBCBS GROUP NUMBER
CK6933OtherILRR MEDICARE NUMBER

National Provider Directory

National Provider Directory

Locations

302 Randall Rd
Ste 304
Geneva, IL 60134
Phone (630) 208-6775

2111 Midlands Ct
Ste 204
Sycamore, IL 60178
Phone (815) 756-7101

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1942207907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "SUITE 308",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-208-7388",
            "fax_number": "630-208-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "SUITE 308",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-208-7388",
            "fax_number": "630-208-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-208-7388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "0055909-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "4532084",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NUMBER",
            "identifier": "CK6933",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.