GASTROINTESTINAL SPECIALISTS,PC (NPI# 1508069543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508069543 |
| Entity Type | Organization |
| Organization Name | GASTROINTESTINAL SPECIALISTS,PC |
| Practice Address |
1813 Willow St Suite 5 B Vincennes IN 47591-4267 |
| Practice Telephone | 8128822703 |
| Practice Fax Number | 8128822760 |
| Mailing Telephone | 8128822703 |
| Mailing Fax Number | 8128822760 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2009-07-01 |
| Authorized Official Name | REBECCA MORANCEY (OFFICE MANAGER) |
| Authorized Official Telephone | 8128822703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
02000873 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100156710A | 05 |
| Street Address |
1813 WILLOW ST SUITE 5 B |
| City | VINCENNES |
| State | IN |
| Zip Code | 47591-4267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927886 | Richard Walter | Internal Medicine | 1813 Willow St, Suite 5 B, Vincennes, IN 47591-4267 | 2005-07-26 |
| 1336616846 | Pain Management Centers of America | Psychiatry & Neurology | 1813 Willow St, Vincennes, IN 47591-4276 | 2018-11-01 |
| 1083153878 | Lindsey Hope Vanschoyck | Nurse Practitioner | 1813 Willow St, #3a, Vincennes, IN 47591-4276 | 2017-02-14 |
| 1548622178 | Stephanie Fuller | Nurse Practitioner | 1813 Willow St, Suite 3, Vincennes, IN 47591-4279 | 2016-03-23 |
| 1467812347 | Advanced Pain Management, Sc | Durable Medical Equipment & Medical Supplies | 1813 Willow St, Suite 4d, Vincennes, IN 47591-4276 | 2016-03-04 |
| 1033586599 | Kimberly R Meade | Registered Nurse | 1813 Willow St, Vincennes, IN 47591-4276 | 2015-08-31 |
| 1942550389 | Allison Leann Krieger | Nurse Practitioner | 1813 Willow St, Suite 3, Vincennes, IN 47591-4276 | 2012-09-13 |
| 1376823112 | Convenient Care Clinic | Clinic/Center | 1813 Willow St, Suite 3, Vincennes, IN 47591-4276 | 2011-08-25 |
| 1437466745 | Jena Elizabeth Wathen | Social Worker | 1813 Willow St, Suite 6a, Vincennes, IN 47591-4276 | 2010-09-08 |
| 1497803308 | Patricia A. Borst | Nurse Practitioner | 1813 Willow St, Vincennes, IN 47591-4276 | 2007-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
| 1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
| 1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
| 1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
| 1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
| 1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
| 1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
| Find all providers in zip 47591 | ||||
| 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 |
|---|---|---|---|---|
| 1235131806 | Oluwagbenga Serrano | Internal Medicine | 1813 Willow St Ste 5b, Vincennes, IN 47591-4279 | 2005-08-12 |
| 1972504629 | Reginald Sandy | Internal Medicine | 520 S 7th St Ste Sb406, Vincennes, IN 47591-1038 | 2005-08-03 |
| 1114927886 | Richard Walter | Internal Medicine | 1813 Willow St, Suite 5 B, Vincennes, IN 47591-4267 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710486295 | Gastro Md, LLC | Internal Medicine | 625 Richland Way, Westfield, IN 46074-9054 | 2018-02-09 |
| 1790137115 | Abdinoor Medical LLC | Internal Medicine | 1819 Braemar Dr, Fort Wayne, IN 46814-9364 | 2016-07-09 |
| 1538578018 | Shail Sheth | Internal Medicine | 3903 S 7th St Ste 2f, Terre Haute, IN 47802-5710 | 2014-08-08 |
| 1992113245 | Unity Healthcare, LLC | Internal Medicine | 1345 Unity Pl Ste 110, Lafayette, IN 47905-5768 | 2014-07-31 |
| 1265773113 | Michael Sai Lai Sey | Internal Medicine | 550 N. University Blvd, Suite 4100, Indiana University Hospital, Indianapolis, IN 46202 | 2013-03-01 |
| 1649531062 | Kavish Rohit Patidar | Internal Medicine | 702 Rotary Cir Ste 225, Indianapolis, IN 46202-5133 | 2012-06-01 |
| 1265726673 | Digestive Healthcare Specialists LLC | Internal Medicine | 8865 W 400 N Ste 155, Michigan City, IN 46360-9010 | 2011-06-02 |
| 1033442991 | Dana Charles Moffatt | Internal Medicine | 359 N West St, Apt 284, Indianapolis, IN 46202-4207 | 2009-09-10 |
| 1134356173 | Robert G. Overstreet | Internal Medicine | 348 Bohart Ln, Charlestown, IN 47111-1606 | 2009-06-17 |
| 1003057993 | John Charles Lowe Sr. | Internal Medicine | 10912 300 Yard Dr, Fishers, IN 46037-9306 | 2009-03-23 |
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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.