GEN GASTRO LLC (NPI# 1447234919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447234919 |
| Entity Type | Organization |
| Organization Name | GEN GASTRO LLC |
| Other Organization Name | ENDOSCOPY CENTER FOR DIGESTIVE HEALTH |
| Practice Address |
2222 53rd Ave Bettendorf IA 52722-7546 |
| Practice Telephone | 5633832686 |
| Practice Fax Number | 5638848144 |
| Mailing Telephone | 5633832686 |
| Mailing Fax Number | 5638848144 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MRS. PAIGE TAGUE (LEAD INSURANCE BILLER) |
| Authorized Official Telephone | 5633832686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
IA | Ambulatory Health Care Facilities | |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BG865037 | 01 | |
| IA | CSA | 1603165 | 01 |
| IA | 0610279 | 05 |
| Other Name | Type Code |
|---|---|
| Endoscopy Center for Digestive Health | Doing Business As Name - Organization |
| Street Address |
2222 53RD AVE |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-7546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295717478 | Richard L Weyman Iv | Internal Medicine | 2222 53rd Ave, Bettendorf, IA 52722-7546 | 2005-11-15 |
| 1518198324 | Genesis Health System | Pediatrics | 2222 53rd Ave, Bettendorf, IA 52722-7546 | 2009-07-29 |
| 1407830912 | Young B Huh | Internal Medicine | 2222 53rd Ave, Bettendorf, IA 52722-7546 | 2005-11-30 |
| 1073597597 | David S Pratt | Internal Medicine | 2222 53rd Ave, Bettendorf, IA 52722-7546 | 2005-11-30 |
| 1972585149 | Erling Larson IIi | Internal Medicine | 2222 53rd Ave, Bettendorf, IA 52722-7546 | 2005-11-15 |
| 1225010499 | William Davidson IIi | Internal Medicine | 2222 53rd Ave, Bettendorf, IA 52722-7546 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528142726 | Genortho, LLC | Clinic/Center | 2300 53rd Ave, Suite 200, Bettendorf, IA 52722-7547 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467010736 | Mercy Surgery Center LLC | Clinic/Center | 1195 Boyson Rd Ste 3, Hiawatha, IA 52233-2214 | 2019-06-03 |
| 1649748708 | Ankeny Medical Park Surgery Center Lc | Clinic/Center | 3625 N Ankeny Blvd Ste J, Ankeny, IA 50023-4610 | 2018-11-07 |
| 1922514421 | Westown Ambulatory Surgery Center | Clinic/Center | 1300 37th St Ste 3, West Des Moines, IA 50266-1900 | 2017-12-19 |
| 1255500781 | Iowa City Ambulatory Surgical Center, LLC | Clinic/Center | 2963 Northgate Dr, Iowa City, IA 52245-9571 | 2008-02-28 |
| 1699856260 | Alegent Health - Mercy Hospital, Corning Iowa | Clinic/Center | 603 Rosary Dr, Corning, IA 50841-1683 | 2006-10-18 |
| 1083638647 | West Des Moines Ambulatory Surgical Center Inc | Clinic/Center | 2425 Westown Pkwy Ste 200, West Des Moines, IA 50266 | 2006-07-27 |
| 1902841398 | Mason City Ambulatory Surgery Center, LLC | Clinic/Center | 990 4th St Sw, Mason City, IA 50401-2861 | 2006-06-18 |
| 1881651206 | Gateway Surgery Center, L.L.C. | Clinic/Center | 841 Springdale Dr, Clinton, IA 52732-3579 | 2006-04-28 |
| 1639135346 | Surgery Centers of Des Moines Ltd | Clinic/Center | 717 Lyon St, Des Moines, IA 50309-5458 | 2006-04-21 |
| 1780651075 | Fox Eye Surgery, LLC | Clinic/Center | 1138 H Ave Ne, Cedar Rapids, IA 52402-4624 | 2006-03-05 |
| Find all providers with the same taxonomy | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
Please comment or provide details below to improve the information on GEN GASTRO LLC.
| 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.