GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC (NPI# 1245352327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245352327 |
| Entity Type | Organization |
| Organization Name | GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC |
| 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 | 2007-04-06 |
| 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 | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
25C0001033 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770495 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558553859 | Gastrointestinal Associates Endoscopy Center, LLC | Clinic/Center | 106 Highland Way Ste 101, Madison, MS 39110-6930 | 2007-08-10 |
| 1962663559 | Gastrointestinal Associates Endoscopy Center, LLC | Clinic/Center | 411 Westwood Dr, Wausau, WI 54401 | 2008-06-17 |
| 1366634669 | Gastrointestinal Associates Endoscopy Center, LLC | Clinic/Center | 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 |
| Find all providers in the same location | ||||
| 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 | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558553859 | Gastrointestinal Associates Endoscopy Center, LLC | Clinic/Center | 106 Highland Way Ste 101, Madison, MS 39110-6930 | 2007-08-10 |
| 1740264274 | Magnolia Endoscopy Center, LLC | Clinic/Center | 3050 Corder Dr, Corinth, MS 38834-6210 | 2005-11-29 |
| 1255883690 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 2500 N State St, Jmm Suite 2525, Jackson, MS 39216-4500 | 2016-11-02 |
| 1932537750 | Digestive Health Endoscopy Asc LLC | Clinic/Center | 90 Industrial Park Cir, Ocean Springs, MS 39564-5800 | 2013-10-15 |
| 1366634669 | Gastrointestinal Associates Endoscopy Center, LLC | Clinic/Center | 1815 Mission 66, Vicksburg, MS 39180-3709 | 2007-08-10 |
| 1053483735 | Premier Medical Management of Mississippi, Inc | Clinic/Center | 501 Marshall St, Suite 201, Jackson, MS 39202-1651 | 2006-11-15 |
| 1598879009 | Digestive Diseases Center of Hattiesburg, LLC | Clinic/Center | 100 Methodist Hospital Blvd, Hattiesburg, MS 39402-1295 | 2006-08-19 |
Please comment or provide details below to improve the information on GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC.
| 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.