TRI-STATE GASTROENTEROLOGY P.C. (NPI# 1811935067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811935067 |
| Entity Type | Organization |
| Organization Name | TRI-STATE GASTROENTEROLOGY P.C. |
| Practice Address |
4133 Gateway Blvd Suite 290 Newburgh IN 47630-7953 |
| Mailing Address |
Po Box 5068 Evansville IN 47716-5068 |
| Practice Telephone | 8128422701 |
| Practice Fax Number | 8128422717 |
| Mailing Telephone | 8128422701 |
| Mailing Fax Number | 8128422717 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | GREGORY S MCCORD (PHYSICIAN) |
| Authorized Official Telephone | 8128422701 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01038295 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100180010A | 05 | |
| IL | 400746743 | 05 | |
| KY | 64871676 | 05 | |
| ANTHEM | 000000042589 | 01 | |
| RAILROAD MEDICARE | 100002411 | 01 | |
| IN | 200073540A | 05 |
| Street Address |
4133 GATEWAY BLVD SUITE 290 |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-7953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767915 | Susan Denise Mcdowell | Nurse Practitioner | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-7953 | 2005-08-15 |
| 1821308354 | Jodie A Kissel | Social Worker | 4133 Gateway Blvd, Ste 220, Newburgh, IN 47630-7953 | 2010-10-18 |
| 1568618841 | Deaconess Clinic Inc | Pediatrics | 4133 Gateway Blvd, 2nd Floor, Newburgh, IN 47630-7918 | 2008-08-18 |
| 1730344326 | Deaconess Hospital, Inc | Pediatrics | 4133 Gateway Blvd, Newburgh, IN 47630-8950 | 2008-07-23 |
| 1093901910 | Board of Trustees of Welborn Clinic | Allergy & Immunology | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-8950 | 2007-09-25 |
| 1366636979 | Huda M Elshershari | Pediatrics | 4133 Gateway Blvd, Ste 220, Newburgh, IN 47630-7953 | 2007-08-28 |
| 1801098025 | Gurpreet B Weyer | Pediatrics | 4133 Gateway Blvd, 2nd Floor, Newburgh, IN 47630-7953 | 2007-06-01 |
| 1174734602 | Bruce Parmer Williams | Pediatrics | 4133 Gateway Blvd, 2nd Floor, Newburgh, IN 47630-7953 | 2007-05-25 |
| 1720116924 | Gregory S Mccord | Internal Medicine | 4133 Gateway Blvd, Suite 290, Newburgh, IN 47630-7953 | 2007-03-01 |
| 1750470530 | Evansville Surgery Center Associates, LLC | Clinic/Center | 4133 Gateway Blvd, Suite 100, Newburgh, IN 47630-8950 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| 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 |
|---|---|---|---|---|
| 1437383833 | Majed El Zouhairi | Internal Medicine | 327 Fullerton Ave Ste 2, Newburgh, NY 12550-3726 | 2009-05-13 |
| 1730479510 | Bryan Matthew Kleinman | Internal Medicine | 1200 Route 300, Newburgh, NY 12550-5003 | 2011-04-13 |
| 1386879914 | Jose Churrango | Internal Medicine | 1200 Route 300, Newburgh, NY 12550-5003 | 2009-05-27 |
| 1528229903 | George F. Protopapas | Internal Medicine | 1200 Route 300, Newburgh, NY 12550-5003 | 2008-06-19 |
| 1518163039 | Katherine Kim | Internal Medicine | 1200 Route 300, Newburgh, NY 12550-5003 | 2007-06-22 |
| 1750582037 | Mia Souheil Hindi | Internal Medicine | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2007-05-31 |
| 1720116924 | Gregory S Mccord | Internal Medicine | 4133 Gateway Blvd, Suite 290, Newburgh, IN 47630-7953 | 2007-03-01 |
| 1538103759 | Kalyana C Lavu | Internal Medicine | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2006-06-16 |
| 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.