DIGESTIVE HEALTH SPECIALISTS, PA (NPI# 1184976797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184976797 |
| Entity Type | Organization |
| Organization Name | DIGESTIVE HEALTH SPECIALISTS, PA |
| Practice Address |
280 Broad St Suite F Kernersville NC 27284-2796 |
| Mailing Address |
2025 Frontis Plaza Blvd Suite 200 Winston Salem NC 27103-5663 |
| Practice Telephone | 3367686211 |
| Practice Fax Number | 3367686869 |
| Mailing Telephone | 3367686211 |
| Mailing Fax Number | 3367686869 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | JACQUELYN TILLINGER (CEO) |
| Authorized Official Telephone | 3367686211 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
| 1073745485 | Digestive Health Specialists, Pa | Internal Medicine | 112 Kinderton Blvd, Advance, NC 27006 | 2009-08-18 |
| 1841474384 | Digestive Health Specialists, Pa | Internal Medicine | 137 Mount Calvary Rd, Suite A, Thomasville, NC 27360-3467 | 2007-12-19 |
| 1912476367 | Digestive Health Specialists, Pa | Clinic/Center | 434 Kirby Rd, King, NC 27021-9494 | 2018-11-15 |
| 1497209613 | Digestive Health Specialists, Pa | Internal Medicine | 6316 Old Oak Ridge Rd, Greensboro, NC 27410-9939 | 2016-08-04 |
| 1487090452 | Digestive Health Specialists, Pa | Clinic/Center | 137 Mount Calvary Rd, Suite A, Thomasville, NC 27360-3467 | 2013-05-17 |
| 1538411145 | Digestive Health Specialists, Pa | Clinic/Center | 112 Kinderton Blvd, Advance, NC 27006-7302 | 2012-10-05 |
| 1346474566 | Digestive Health Specialists, Pa | Internal Medicine | 280 Broad St, Suite F, Kernersville, NC 27284-2796 | 2009-05-04 |
| 1306005343 | Digestive Health Specialists, Pa | Clinic/Center | 2025 Frontis Plaza Blvd, Suite 200, Winston Salem, NC 27103-5663 | 2008-06-05 |
| 1801837745 | Digestive Health Specialists, Pa | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston-salem, NC 27103-5663 | 2006-06-10 |
| Street Address |
280 BROAD ST SUITE F |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-2796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275710 | Martha Claire K Henzler | Physician Assistant | 280 Broad St, Ste B, Kernersville, NC 27284-2948 | 2005-06-16 |
| 1710352927 | Novant Medical Group, Inc | Obstetrics & Gynecology | 280 Broad St, Suite D, Kernersville, NC 27284-2796 | 2015-12-14 |
| 1255636775 | Regional Physicians LLC | Psychiatry & Neurology | 280 Broad St, Ste.b, Kernersville, NC 27284-2796 | 2011-01-13 |
| 1457666257 | Shannon Englehorn | Social Worker | 280 Broad St, Suite E, Kernersville, NC 27284-2796 | 2010-08-17 |
| 1750601803 | Kernersville Eye Surgeons, PC | Surgery | 280 Broad St, Suite D, Kernersville, NC 27284-2796 | 2010-06-10 |
| 1982929741 | John Harter Willis | Otolaryngology | 280 Broad St, Suite C, Kernersville, NC 27284-2796 | 2010-04-05 |
| 1346474566 | Digestive Health Specialists, Pa | Internal Medicine | 280 Broad St, Suite F, Kernersville, NC 27284-2796 | 2009-05-04 |
| 1942479571 | Stephanie Tickerhoff | Nurse Practitioner | 280 Broad St, Suite A, Kernersville, NC 27284-2796 | 2008-02-28 |
| 1316070352 | Jessica Lynn Farmer Flanery | Counselor | 280 Broad St, Suite E, Kernersville, NC 27284-2796 | 2007-03-13 |
| 1063454569 | Forsyth Radiological Associates | Radiology | 280 Broad St, Kernersville, NC 27284-2948 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750892659 | Novant Health Kernersville Outpatient Surgery LLC | Clinic/Center | 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284-7198 | 2017-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342481 | Piedmont Asc LLC | Clinic/Center | 7819 National Service Rd Ste 404, Greensboro, NC 27409-9401 | 2020-10-02 |
| 1558983833 | Triad Center for Surgery, LLC | Clinic/Center | 180 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6970 | 2020-05-10 |
| 1922639426 | Associated Health Services, Inc. | Clinic/Center | 5601 Arringdon Park Dr, Morrisville, NC 27560-5643 | 2020-02-03 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
| 1225568884 | Wake Forest Ambulatory Ventures, LLC | Clinic/Center | 6441 Kinnamon Ct, Winston-salem, NC 27103 | 2017-06-15 |
| Find all providers with the same taxonomy | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.