Organization Active NPI

Hilton Head Gastroenterology, PA

  • Gastroenterology Physician
  • Hilton Head Island, SC
National Provider Identifier
1942394804
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14617 Issued in SC
Legal business name
HILTON HEAD GASTROENTEROLOGY, PA
Practice address
35 Bill Fries Dr
Hilton Head Island, SC 29926-2730
Phone
(843) 681-6668
Fax
(843) 681-3295
NPI assigned
Oct 3, 2006
Last updated
Jul 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Authorized official

Name
Dr. Glenn P. Gwozdz, MDNPI 1487785879
Title
President
Phone
(843) 681-6668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 14617 SC Primary

Addresses

Primary practice location

35 Bill Fries Dr
Hilton Head Island, SC 29926-2730

Mailing address

35 Bill Fries Dr
Hilton Head Island, SC 29926-2730
Phone (843) 681-6668

Other identifiers 1

IdentifierTypeStateIssuer
GP2995MedicaidSC

National Provider Directory

National Provider Directory

Locations

25 Hospital Ctr
Ste 103
Hilton Head Island, SC 29926
Phone (843) 681-6668

Practitioners & affiliated clinicians

Practitioners 3

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1942394804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-681-6668",
            "fax_number": "843-681-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-681-6668",
            "fax_number": "843-681-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON HEAD GASTROENTEROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "GWOZDZ",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-681-6668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "14617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2995",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.