GASTROINTESTINAL ASSOCIATES, P.A. (NPI# 1093765604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093765604 |
| Entity Type | Organization |
| Organization Name | GASTROINTESTINAL ASSOCIATES, P.A. |
| Practice Address |
2510 Lakeland Dr Flowood MS 39232-9513 |
| Practice Telephone | 6013551234 |
| Practice Fax Number | 6013263566 |
| Mailing Telephone | 6013551234 |
| Mailing Fax Number | 6013263566 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | DR. PIERCE D. DOTHEROW (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6013551234 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09011758 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902098288 | Gastrointestinal Associates, P.a. | Pediatrics | 106 Highland Way Ste 101, Madison, MS 39110-6930 | 2007-08-10 |
| 1144412438 | Gastrointestinal Associates, P.a. | Pediatrics | 1815 Mission 66, Vicksburg, MS 39180-3709 | 2007-08-10 |
| Street Address |
2510 LAKELAND DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884234 | Samuel D Hensley | Pathology | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2005-10-10 |
| 1144872359 | Rebecca Sandifer Walker | Dietitian, Registered | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2019-07-09 |
| 1982103198 | Alexandra Tirrell Hobbs | Registered Nurse | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2018-02-03 |
| 1982122552 | Sheena Renell Smith Smoot | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2017-09-05 |
| 1245776343 | Wren Nightengale Vines | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2017-01-12 |
| 1093260150 | Rachael Cade Stegall | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2016-08-18 |
| 1477909596 | Rachel F Dickerson | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2016-05-07 |
| 1841698792 | Audrey Leigh Upchurch | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2014-12-09 |
| 1124468061 | Brittany O'steen Morrow | Nurse Anesthetist, Certified Registered | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2013-06-25 |
| 1407115397 | Jason Kyle Jones | Pathology | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2012-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487974192 | Ralph Brooks Vance | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2010-06-03 |
| 1194954578 | Stewart Alexander Boyd | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2009-07-07 |
| 1356504682 | Reed Blanchard Hogan IIi | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2008-07-07 |
| 1245438860 | Jeffrey Mccrary | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2007-07-05 |
| 1578760534 | Jane-claire Boyd Williams | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2007-07-02 |
| 1134330822 | Ernest S. Weeks Jr. | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2007-05-24 |
| 1215149711 | John Matthew Runnels | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2007-05-04 |
| 1568534832 | Charles E Hall | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2006-11-14 |
| 1093887259 | Makau P Lee | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2006-11-14 |
| 1568533198 | Donald P Brannan | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2006-11-13 |
| Find all providers in FLOWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.