KENTUCKIANA GASTROENTEROLOGY PSC (NPI# 1336310135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336310135 |
| Entity Type | Organization |
| Organization Name | KENTUCKIANA GASTROENTEROLOGY PSC |
| Other Organization Name | TRICOUNTY GASTROENTEROLOGY |
| Practice Address |
1003 N Dupont Sq # 9a Louisville KY 40207-4612 |
| Practice Telephone | 5028937744 |
| Practice Fax Number | 5028937741 |
| Mailing Telephone | 5028937744 |
| Mailing Fax Number | 5028937741 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | DR. ANAND GUPTA (OWNER) |
| Authorized Official Telephone | 5028937744 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
33458 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT HEALTH | 50015404 | 01 |
| KY | PASSPORT ADVANTAGE | 24420293000 | 01 |
| KY | 64343585 | 05 |
| Other Name | Type Code |
|---|---|
| Tricounty Gastroenterology | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1802 E 10th St, Jeffersonville, IN 471306016 | 5028937744 | 5028937741 |
| Street Address |
1003 N DUPONT SQ # 9A |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| 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 |
|---|---|---|---|---|
| 1871019869 | Gi Care Consultants, Pllc | Internal Medicine | 225 Abraham Flexner Way Ste 402, Louisville, KY 40202-1850 | 2017-08-21 |
| 1598039885 | Adolfo Decucco Games | Internal Medicine | 980 W Plum Cir, Louisville, CO 80027-2441 | 2012-03-03 |
| 1679636120 | Raul Eduardo Cubillas Manrique | Internal Medicine | 382 S Arthur Ave, Louisville, CO 80027-3094 | 2006-12-18 |
| 1376649863 | Frederick J Hardin | Internal Medicine | 2400 Eastpoint Pkwy Ste 350, Louisville, KY 40223-4154 | 2006-09-15 |
| 1053420158 | William B Evans IIi | Internal Medicine | 1169 Eastern Pkwy Ste G58, Louisville, KY 40217-1472 | 2006-08-30 |
| 1912966391 | Narasimharao Vemula | Internal Medicine | 1900 Bluegrass Ave Ste 300, Louisville, KY 40215-1183 | 2006-03-22 |
| 1841299138 | Anand Gupta | Internal Medicine | 1003n Dupont Sq 9a, Louisville, KY 40207 | 2005-07-19 |
| 1235135955 | Laszlo J. Makk | Internal Medicine | 2401 Terra Crossing Blvd Ste 410, Louisville, KY 40245-5371 | 2005-06-27 |
| 1831193275 | Rajesh A Joseph | Internal Medicine | 3999 Dutchmans Ln Ste 7b, Louisville, KY 40207-4742 | 2005-06-13 |
| 1730730516 | Taylor Johnson Smith | Internal Medicine | 3999 Dutchmans Ln Ste 7b, Louisville, KY 40207-4742 | 2019-09-24 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on KENTUCKIANA GASTROENTEROLOGY PSC.
| 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.