GASTON DIGESTIVE DISEASE CLINIC, P.A. (NPI# 1962629493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962629493 |
| Entity Type | Organization |
| Organization Name | GASTON DIGESTIVE DISEASE CLINIC, P.A. |
| Practice Address |
2550 Court Dr Ste 201 Gastonia NC 28054-2152 |
| Practice Telephone | 7048673585 |
| Practice Fax Number | 7048611779 |
| Mailing Telephone | 7048673585 |
| Mailing Fax Number | 7048611779 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | DR. SAMUEL THOMAS DRAKE I (PRESIDENT) |
| Authorized Official Telephone | 7048673585 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 23513 | NC | Other Service Providers |
| Street Address |
2550 COURT DR STE 201 |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891070579 | Scott Alan Meyer | Specialist | 2550 Court Dr Ste 101, Gastonia, NC 28054-2152 | 2011-10-13 |
| 1366633463 | Gihwala & Associates | Specialist | 825 Majestic Ct Ste A, Gastonia, NC 28054-5190 | 2007-08-05 |
| 1043332786 | Aman Raj | Specialist | 561 Cox Road, Gastonia, NC 28054-0628 | 2007-04-04 |
| 1699897249 | Austin Azubike Osemeka | Specialist | 2682 Court Dr Ste A, Gastonia, NC 28054-1449 | 2007-04-04 |
| 1104836048 | Kelly F Shedd | Specialist | 2391 Court Dr Ste 110, Gastonia, NC 28054-2197 | 2006-08-09 |
| 1053367490 | Pain Management Associates, P.a. | Specialist | 640 Summitt Xing Pl, Suite 200, Gastonia, NC 28054-2138 | 2006-05-26 |
| 1093785099 | William S. Watkins | Specialist | 2450 Aberdeen Blvd, Suite A, Gastonia, NC 28054-0606 | 2006-01-24 |
| 1487632873 | Southeastern Specialist Clinic | Specialist | 825 Majestic Ct, Suite F, Gastonia, NC 28054-5186 | 2006-01-05 |
| 1699760702 | Ent Carolina Pa | Specialist | 2520 Aberdeen Blvd, Gastonia, NC 28054-0635 | 2005-09-14 |
| 1588664098 | Philip George Leone | Specialist | 2525 Court Dr, Gastonia, NC 28054-2140 | 2005-07-26 |
| Find all providers in GASTONIA | ||||
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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.