NPIMap

Organization Active NPI

Digestive and Liver Disease

  • Gastroenterology Physician
  • Worcester, MA
National Provider Identifier
1952358798
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
37367 Issued in MA
Legal business name
DIGESTIVE AND LIVER DISEASE
Practice address
10 Winthrop St
Worcester, MA 01604-4435
Phone
(508) 755-7794
Fax
(508) 755-7070
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Keshav Pandey, MD
Title
Doctor
Phone
(508) 755-7794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 37367 MA Primary

Addresses

Primary practice location

10 Winthrop St
Worcester, MA 01604-4435

Mailing address

10 Winthrop St
Worcester, MA 01604-4435
Phone (508) 755-7794

Other identifiers 2

IdentifierTypeStateIssuer
207RG0100XOtherMATAXONOMY NUMBER
2045192MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1952358798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044435",
            "telephone_number": "508-755-7794",
            "fax_number": "508-755-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044435",
            "telephone_number": "508-755-7794",
            "fax_number": "508-755-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE AND LIVER DISEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PANDEY",
        "authorized_official_first_name": "KESHAV",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "508-755-7794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "37367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY NUMBER",
            "identifier": "207RG0100X",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045192",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.