GASTROENTEROLOGY SPECIALTY GROUP, LLC (NPI# 1548207970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548207970 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY SPECIALTY GROUP, LLC |
| Practice Address |
115 Technology Dr Ste B-106 Trumbull CT 06611-1395 |
| Practice Telephone | 2034521411 |
| Practice Fax Number | 2034521412 |
| Mailing Telephone | 2034521411 |
| Mailing Fax Number | 2034521412 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | DR. TARUN K GUPTA (PHYSICIAN) |
| Authorized Official Telephone | 2034521411 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
032684 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE PROVIDER NUM | 032684 | 01 |
| CT | OXFORD PROVIDER NUMBER | P653628 | 01 |
| CT | BC PROVIDER NUMBER | 010032684CT05 | 01 |
| CT | MEDICARE RAILROAD PROV. # | 110239944 | 01 |
| CT | AETNA PROVIDER # | 5373649 | 01 |
| CT | 001326843 | 05 | |
| CT | US HEALTHCARE PROV. # | 88411 | 01 |
| CT | HEALTHNET PROV. # | OV6284 | 01 |
| CT | CIGNA PROV. # | 2185309009 | 01 |
| Street Address |
115 TECHNOLOGY DR STE B-106 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-1395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657276 | Nanci E Kaczegowicz | Nurse Practitioner | 115 Technology Dr, Suite B-106, Trumbull, CT 06611-6337 | 2005-05-24 |
| 1114525557 | Ashley L Fedor | Physical Therapist | 115 Technology Dr, Trumbull, CT 06611-6337 | 2020-10-16 |
| 1194205088 | Cassandra Fitzgerald | Physical Therapist | 115 Technology Dr, Suite B100, Trumbull, CT 06611 | 2018-08-20 |
| 1538600069 | Ryan Pane | Orthotist | 115 Technology Dr, Sutie Cp102, Trumbull, CT 06611-6337 | 2017-03-16 |
| 1326589813 | Thomas Stec | Orthotist | 115 Technology Dr, Suite Cp102, Trumbull, CT 06611-6342 | 2017-03-16 |
| 1669913166 | Andrew Dows | Orthotist | 115 Technology Dr, Trumbull, CT 06611-6337 | 2017-03-16 |
| 1255707410 | Christine Griffin Bachmann | Nurse Practitioner | 115 Technology Dr, Trumbull, CT 06611-6337 | 2015-08-11 |
| 1356721385 | Monica Jain & Associates,llc | Internal Medicine | 115 Technology Dr, Suite B106, Trumbull, CT 06611-6337 | 2015-06-04 |
| 1730594821 | Sharon Dragich | Obstetrics & Gynecology | 115 Technology Dr, Trumbull, CT 06611-6337 | 2014-06-26 |
| 1033543285 | Anne Wolf | Psychiatry & Neurology | 115 Technology Dr, Trumbull, CT 06611-6337 | 2013-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| 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 |
|---|---|---|---|---|
| 1730525734 | Benjamin Barbash | Internal Medicine | 888 White Plains Rd Ste 110, Trumbull, CT 06611-4552 | 2013-05-16 |
| 1255724621 | Steven D Beckoff | Internal Medicine | 888 White Plains Rd Ste 110, Trumbull, CT 06611-4552 | 2015-03-10 |
| 1225080278 | Tarun K Gupta | Internal Medicine | 115 Technology Dr, Suite B-106, Trumbull, CT 06611-1395 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1598109753 | Radhika Naga Ayyagari | Internal Medicine | Prime Healthcare PC, 44 Dale Rd, Avon, CT 06001-4320 | 2013-04-18 |
| 1205279247 | Jared Macklin | Internal Medicine | 800 Boston Post Rd Ste 201, Guilford, CT 06437 | 2013-04-09 |
| 1316209141 | Jenna Koliani-pace | Internal Medicine | 300 Western Blvd Ste A, Glastonbury, CT 06033-4305 | 2012-06-07 |
| 1891055323 | Martin H. Floch,m.d.pc | Internal Medicine | 32 Woody Ln, Westport, CT 06880-2259 | 2012-05-17 |
| 1720396567 | Breiter Tech Corp | Internal Medicine | 2842 Main St, Ste 309, Glastonbury, CT 06033-1077 | 2010-09-14 |
| 1275775058 | Donald E. Gullickson IIi | Internal Medicine | Uconn Health Center 263 Farmington Ave, Farmington, CT 06030-0001 | 2009-03-25 |
| 1356582571 | Miechelle L. O'brien | Internal Medicine | 111 Osborne Street- Ste 121, Danbury, CT 06810-6019 | 2009-03-18 |
| 1962656314 | Jefrey Salek | Internal Medicine | 79 Wawecus St., Suite 101, Norwich, CT 06360-2173 | 2008-11-12 |
| 1790945996 | Amzad Khan | Internal Medicine | 234a Bank St., 4th Floor, New London, CT 06320-6054 | 2008-06-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GASTROENTEROLOGY SPECIALTY GROUP, 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.