DECATUR DIGESTIVE DISEASES PC (NPI# 1245313519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245313519 |
| Entity Type | Organization |
| Organization Name | DECATUR DIGESTIVE DISEASES PC |
| Practice Address |
2828 Hwy 31 South Suite 117 Decatur AL 35602 |
| Mailing Address |
Po Box 3017 2828 Hwy 31 South Suite 117 Decatur AL 35602 |
| Practice Telephone | 2563512116 |
| Practice Fax Number | 2563512128 |
| Mailing Telephone | 2563512116 |
| Mailing Fax Number | 2563512128 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | DR. VENKATA R B KANTAMNEMI (PRESIDENT) |
| Authorized Official Telephone | 2563512116 |
| 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 |
| Street Address |
2828 HWY 31 SOUTH SUITE 117 |
| City | DECATUR |
| State | AL |
| Zip Code | 35602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427062173 | David A Francis | Family Medicine | 2828 Hwy 31 South, Ste 115, Decatur, AL 35603 | 2006-07-28 |
| 1891084422 | Ray Cain, M.d. P.C. | Ophthalmology | 2828 Hwy 31 South, Suite 116, Decatur, AL 35603 | 2011-04-05 |
| 1164527578 | Clear Choice Home Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 2828 Hwy 31 South, Suite 130, Decatur, AL 35603 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861044703 | Latasha Heinzen | Counselor | 2042 Beltline Rd Suite 120a, Decatur, AL 35602 | 2019-07-11 |
| 1134451685 | Shana D Crumbough | Case Manager/Care Coordinator | 4110 Highway 31 S, Decatur, AL 35602 | 2010-02-09 |
| 1881887479 | Addiction & Mental Health Services Inc | Clinic/Center | 2531 Highway 20 West, Decatur, AL 35602 | 2007-08-27 |
| 1245285295 | Mark Jacob | Psychologist | 801 Church Street, Suite 1, Decatur, AL 35602 | 2006-05-24 |
| 1851377527 | Venkata Babu Kantamneni | Internal Medicine | 2828 Highway 31 South, Suite 117, Decatur, AL 35602 | 2005-12-15 |
| 1922241678 | Brian Ruble | Case Manager/Care Coordinator | 4110 Highway 31 South, Decatur, AL 35602 | 2009-04-10 |
| 1033361639 | Shelia Harris Kasulka | Registered Nurse | 801 Church Street, Suite 1, Decatur, AL 35602 | 2008-10-15 |
| 1447453600 | Leah F Oakley | Registered Nurse | 4110 Highway 31 South, Decatur, AL 35602 | 2007-06-06 |
| 1033298005 | North Central Alabama Mental Retardation Authority, Inc. | Case Management | 445 East Moulton Street Ne, Decatur, AL 35602-0597 | 2006-11-02 |
| 1801103387 | State of Alabama Department of Public Health | Nurse Practitioner | 510 Cherry St. Ne, Decatur, AL 35602-1628 | 2010-09-07 |
| Find all providers in zip 35602 | ||||
| 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 |
|---|---|---|---|---|
| 1952875932 | Aimee Lin Simington | Internal Medicine | 609 Medical Center Dr Ste 2600, Decatur, TX 76234-3846 | 2019-01-14 |
| 1669762480 | Riverside Gastroenterology PC | Internal Medicine | 1304 Somerville Rd Se, Decatur, AL 35601-4354 | 2011-04-13 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1417134008 | Andrew Simpson | Internal Medicine | 2675 N Decatur Rd Ste 506, Decatur, GA 30033-6134 | 2008-01-25 |
| 1124180674 | Jeanette N Keith | Internal Medicine | 1208 Somerville Rd Se, Decatur, AL 35601-4335 | 2006-12-14 |
| 1417027277 | Shirley Ann Harris | Internal Medicine | 3292 Mountain Dr, Suite A, Decatur, GA 30032-1102 | 2006-11-09 |
| 1649206095 | Khurshid Yousuf | Internal Medicine | 1103 15th Ave Se, Decatur, AL 35601-3345 | 2006-06-25 |
| 1790761443 | Attupuram Joseph Alexander | Internal Medicine | 2282 Highway 31 S, Suite 117, Decatur, AL 35601-6512 | 2005-12-15 |
| 1851377527 | Venkata Babu Kantamneni | Internal Medicine | 2828 Highway 31 South, Suite 117, Decatur, AL 35602 | 2005-12-15 |
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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.