GASTROENTEROLOGY ASSOCIATES PA (NPI# 1154442630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154442630 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY ASSOCIATES PA |
| Other Organization Name | GASTROENTEROLOGY ASSOCIATES ENDOSCOPY UNIT |
| Practice Address |
415 N Center St Ste 300 Hickory NC 28601-5036 |
| Practice Telephone | 8283283300 |
| Practice Fax Number | 8283289101 |
| Mailing Telephone | 8283283300 |
| Mailing Fax Number | 8283289101 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | BENJAMIN RIDLEY (CEO) |
| Authorized Official Telephone | 8283283300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
34C0001119 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC STATE LICENSE NUMBER | 34C0001119 | 01 |
| Other Name | Type Code |
|---|---|
| Gastroenterology Associates Endoscopy Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710121843 | Gastroenterology Associates Pa | Internal Medicine | 552 Memorial Drive Ext Ste D, Greer, SC 29651-1135 | 2009-04-20 |
| 1851395792 | Gastroenterology Associates Pa | Specialist | 409 N University Ave, Little Rock, AR 72205-3108 | 2005-06-09 |
| 1649479379 | Gastroenterology Associates Pa | Internal Medicine | 100 Brick Rd, Suite 216, Marlton, NJ 08053-2146 | 2007-07-12 |
| 1740404391 | Gastroenterology Associates Pa | Internal Medicine | 540 Madison Oak Dr, Suite #520, San Antonio, TX 78258-3943 | 2007-04-13 |
| 1851460828 | Gastroenterology Associates Pa | Internal Medicine | 4745 Ogletown Stanton Rd, Ste 134, Newark, DE 19713-2067 | 2006-11-06 |
| 1750346748 | Gastroenterology Associates Pa | Internal Medicine | 415 N Center St, Suite 300, Hickory, NC 28601-5036 | 2006-04-20 |
| Street Address |
415 N CENTER ST STE 300 |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669508 | Western Carolina Sedation Associates, LLC | Anesthesiology | 415 N Center St Ste 300, Hickory, NC 28601-5036 | 2020-04-29 |
| 1902148331 | Kristen Suchniak-mussari | Internal Medicine | 415 N Center St Ste 300, Hickory, NC 28601-5036 | 2013-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811003205 | Viewmont Surgery Center, LLC | Clinic/Center | 50 13th Ave Ne Ste 1, Hickory, NC 28601-3767 | 2006-08-21 |
| 1093960395 | Graystone Eye Surgery Center LLC | Clinic/Center | 2424 Century Pl Se, Hickory, NC 28602-4031 | 2008-12-01 |
| 1255493482 | Graystone Eye Surgery Center of Hickory, Lp | Clinic/Center | 2424 Century Pl Se, Hickory, NC 28602-4031 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342481 | Piedmont Asc LLC | Clinic/Center | 7819 National Service Rd Ste 404, Greensboro, NC 27409-9401 | 2020-10-02 |
| 1558983833 | Triad Center for Surgery, LLC | Clinic/Center | 180 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6970 | 2020-05-10 |
| 1922639426 | Associated Health Services, Inc. | Clinic/Center | 5601 Arringdon Park Dr, Morrisville, NC 27560-5643 | 2020-02-03 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
| 1750892659 | Novant Health Kernersville Outpatient Surgery LLC | Clinic/Center | 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284-7198 | 2017-10-18 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
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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.