Gastroenterology Center of the South, Apmc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

18280 Issued in LA

Legal business name

GASTROENTEROLOGY CENTER OF THE SOUTH, APMC

Practice address

8120 Main St
Suite 200
Houma, LA 70360-3403

Phone

(985) 851-5206

Fax

(985) 851-5224

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Craig Pellegrin, M.D.NPI 1679662936

Title

President

Phone

(985) 851-5206

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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

• David Craig Pellegrin, M.D.

  • Gastroenterology Physician
  • Houma, LA
  • NPI 1679662936
  Medicare reassignment NPD Authorized official
• Bobby Gene Denson Jr., FNP-C

  • Family Nurse Practitioner
  • Cut Off, LA
  • NPI 1538189881
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1992723571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 MAIN ST",
            "address_2": "SUITE 200",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-851-5206",
            "fax_number": "985-851-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 MAIN ST",
            "address_2": "SUITE 200",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-851-5206",
            "fax_number": "985-851-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CENTER OF THE SOUTH, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "PELLEGRIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-851-5206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "18280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1941352",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Garcia
• Heidi Guillory Garcia, NP
• Joseph Michael Garcia, MD
• Michael J Garcia, MD
• Scott Michael Garrett
• Gastroenterology Institute, Inc.
• Brandon Gatlin
• Christopher M Gaudet, CRNA
• Jaime Ellis Gaudet, NP
• Steven M. Gaudet, DDS

• Gastroenterology Physician in Houma, LA
• Providers in Houma, LA by specialty
• Gastroenterology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.