GASTROINTESTINAL ASSOCIATES, P.A. (NPI# 1144412438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144412438 |
| Entity Type | Organization |
| Organization Name | GASTROINTESTINAL ASSOCIATES, P.A. |
| Practice Address |
1815 Mission 66 Vicksburg MS 39180-3709 |
| Mailing Address |
2510 Lakeland Dr Flowood MS 39232-9513 |
| Practice Telephone | 6013551234 |
| Practice Fax Number | 6013263566 |
| Mailing Telephone | 6013551234 |
| Mailing Fax Number | 6013263566 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | PIERCE D DOTHEROW (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6013551234 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | GASTROINTESTINAL ASSOCIATES, P.A. |
| 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 | 09852713 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902098288 | Gastrointestinal Associates, P.a. | Pediatrics | 106 Highland Way Ste 101, Madison, MS 39110-6930 | 2007-08-10 |
| 1093765604 | Gastrointestinal Associates, P.a. | Pediatrics | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2006-05-12 |
| Street Address |
1815 MISSION 66 |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326003005 | Albert F Chiemprabha | Internal Medicine | 1815 Mission 66, Vicksburg, MS 39180 | 2006-04-18 |
| 1669642096 | James Michael Rainer | Nurse Anesthetist, Certified Registered | 1815 Mission 66, Vicksburg, MS 39180-3709 | 2008-02-29 |
| 1366634669 | Gastrointestinal Associates Endoscopy Center, LLC | Clinic/Center | 1815 Mission 66, Vicksburg, MS 39180-3709 | 2007-08-10 |
| 1699701060 | Vishwanath N Shenoy | Internal Medicine | 1815 Mission 66, Vicksburg, MS 39180-3709 | 2006-06-25 |
| 1376584425 | Lavinia D Jones | Nurse Anesthetist, Certified Registered | 1815 Mission 66, Vicksburg, MS 39180-3709 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| 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 |
|---|---|---|---|---|
| 1326003005 | Albert F Chiemprabha | Internal Medicine | 1815 Mission 66, Vicksburg, MS 39180 | 2006-04-18 |
| 1871773671 | Yoshinobu Namihira | Internal Medicine | 3000 Halls Ferry Rd, Vicksburg, MS 39180-4802 | 2007-11-08 |
| 1699701060 | Vishwanath N Shenoy | Internal Medicine | 1815 Mission 66, Vicksburg, MS 39180-3709 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374085 | St. Dominic Medical Associates LLC | Internal Medicine | 970 Lakeland Dr Ste 43, Jackson, MS 39216-4634 | 2018-11-07 |
| 1558774174 | Stephen Robert Chow | Internal Medicine | 1314 19th Ave Dept Of, Meridian, MS 39301-4116 | 2014-06-11 |
| 1568653939 | M Aftab Anwar | Internal Medicine | 3704 Beinville Blvd, Ocean Springs, MS 39564 | 2007-08-09 |
| 1720202450 | Amory Hma Physician Mgmt LLC | Internal Medicine | 1127 Earl Frye Blvd Ste A, Amory, MS 38821-5516 | 2007-04-12 |
| 1568594893 | Mohammad Aftab Anwar | Internal Medicine | 3704 Bienville Blvd, Suite A3, Ocean Springs, MS 39564-5710 | 2007-03-12 |
| 1740353515 | Deborah S. Skelton | Internal Medicine | 971 Lakeland Dr Ste 1160, Jackson, MS 39216-4609 | 2006-11-17 |
| 1902984966 | R Andrew Packard Md PC | Internal Medicine | 785 Ohio Ave Ste 1f, Clarksdale, MS 38614-6213 | 2006-11-01 |
| 1376659193 | Navin V Barot | Internal Medicine | 1340 Broad Ave Ste 300, Gulfport, MS 39501-2404 | 2006-08-22 |
| 1437265972 | Javed Mohiuddin | Internal Medicine | Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531-2410 | 2006-08-21 |
| 1558374850 | William M Farmer | Internal Medicine | 100 Methodist Blvd, Hattiesburg, MS 39402-1295 | 2006-08-15 |
| Find all providers with the same taxonomy | ||||
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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.