GASTROENTEROLOGY GROUP PRACTICE, LLC (NPI# 1154363687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154363687 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY GROUP PRACTICE, LLC |
| Other Organization Name | GASTROENTEROLOGY GROUP PRACTICE LTD |
| Practice Address |
302 Randall Rd Suite 303 Geneva IL 60134-4209 |
| Practice Telephone | 6302627400 |
| Practice Fax Number | 6302623760 |
| Mailing Telephone | 6302627400 |
| Mailing Fax Number | 6302623760 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANDREW BREGMAN (MANAGING PARTNER) |
| Authorized Official Telephone | 6302627400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gastroenterology Group Practice Ltd | Former Legal Business Name - Organization |
| Street Address |
302 RANDALL RD SUITE 303 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227570 | Steven J. Bielski | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2005-06-30 |
| 1518320191 | Christine Polz | Nurse Practitioner | 302 Randall Rd, Suite 202, Geneva, IL 60134-4209 | 2016-04-01 |
| 1578970042 | Thomas Skoumal Dds, PC | Clinic/Center | 302 Randall Rd, Suite 105, Geneva, IL 60134-4209 | 2014-07-16 |
| 1770828287 | Susannah More | Clinical Neuropsychologist | 302 Randall Rd, Geneva, IL 60134-4209 | 2012-12-10 |
| 1245587997 | Thomas Edward Skoumal | Dentist | 302 Randall Rd, Suite 105, Geneva, IL 60134-4209 | 2012-08-13 |
| 1811253677 | Brittany Summer Panico | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2012-04-05 |
| 1568783991 | Elizabeth A Lowden | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4220 | 2010-06-21 |
| 1194043455 | Niveditha Christodoss | Counselor | 302 Randall Rd, Ll30, Geneva, IL 60134-4209 | 2010-05-12 |
| 1659697100 | Jay Liu | Internal Medicine | 302 Randall Rd, Geneva, IL 60134 | 2010-04-08 |
| 1871822445 | Janeta Dimante M.d.s.c. | Obstetrics & Gynecology | 302 Randall Rd, Suite 305, Geneva, IL 60134-4209 | 2009-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
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| 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 |
|---|---|---|---|---|
| 1316962251 | Henry Leguyader | Internal Medicine | 821 Pre Emption Rd Ste 300, Geneva, NY 14456-2061 | 2006-07-13 |
| 1164766325 | Flh Medical, PC | Internal Medicine | 821 Pre Emption Rd, Ste. 300, Geneva, NY 14456-2061 | 2012-11-12 |
| 1750468591 | Katherine Jelinek | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2006-11-01 |
| 1114946415 | Angel A. Diaz | Internal Medicine | 821 Pre Emption Rd Ste 300, Geneva, NY 14456-2061 | 2006-07-18 |
| 1831114776 | Finger Lakes Gastroenterology | Internal Medicine | 821 Pre Emption Rd Ste 300, Geneva, NY 14456-2061 | 2006-07-13 |
| 1316988033 | Sharif Zubair | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2006-06-10 |
| 1740267756 | Heliodoro Medina | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4220 | 2005-12-30 |
| 1982680013 | Andrew Bregman | Internal Medicine | 302 Randall Rd, Ste 303, Geneva, IL 60134-4209 | 2005-12-20 |
| 1467450650 | Paul M Gekas | Internal Medicine | 302 Randall Rd, Suite 308, Geneva, IL 60134-4209 | 2005-07-12 |
| 1942207907 | Gastrointestinal Health Associates | Internal Medicine | 302 Randall Rd, Suite 308, Geneva, IL 60134-4209 | 2005-07-06 |
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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.