DIGESTIVE DISEASES CENTER OF SOUTH TEXAS, PLLC


Address: 621 Camden St, San Antonio, TX 78215-1612
Phone: 2102533422

DIGESTIVE DISEASES CENTER OF SOUTH TEXAS, PLLC (NPI# 1679671994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679671994
Entity Type Organization
Organization Name DIGESTIVE DISEASES CENTER OF SOUTH TEXAS, PLLC
Practice Address 621 Camden St
San Antonio
TX 78215-1612
Mailing Address Po Box 17650
San Antonio
TX 78217-0650
Practice Telephone 2102533422
Practice Fax Number 2102279833
Mailing Telephone 2102533422
Mailing Fax Number 2102279833
Enumeration Date 2006-09-20
Last Update Date 2013-11-19
Authorized Official Name DR. RAVI BOTLA (PRESIDENT)
Authorized Official Telephone 2102533422
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BC/BS 00T16Z 01
TX 085153702 05

Office Location

Street Address 621 CAMDEN ST
City SAN ANTONIO
State TX
Zip Code 78215-1612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700882271 Gab Endoscopy Center, Ltd. Clinic/Center 621 Camden St, San Antonio, TX 78215-1639 2005-06-21
1639569163 Vijaya Botla Dietitian, Registered 621 Camden St, San Antonio, TX 78215-1612 2015-02-04
1801286331 Alamo Nutrition Consultants, LLC Dietitian, Registered 621 Camden St, San Antonio, TX 78215-1612 2015-02-04
1639587439 Melissa Medina Nurse Practitioner 621 Camden St, Ste 202, San Antonio, TX 78215-1612 2014-07-24
1750702221 Tamara J Merchant-mccambry Md Pllc Colon & Rectal Surgery 621 Camden St, San Antonio, TX 78215-1612 2013-12-30
1578769303 Kalyan Chakravarthy Kanneganti Internal Medicine 621 Camden St, #202, San Antonio, TX 78215-1612 2007-06-27
1275603565 Michael Roy France Physician Assistant 621 Camden St, San Antonio, TX 78215-1612 2006-11-08
1235183526 Tamara J Merchant-mccambry Surgery 621 Camden St, Suite 150, San Antonio, TX 78215-1612 2006-05-20
1225003676 Amit Goyal Internal Medicine 621 Camden St, Suite 202, San Antonio, TX 78215-1612 2006-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710487780 Webster Street Dental Pllc Clinic/Center 311 E Jones Ave, San Antonio, TX 78215 2018-02-16
1699215293 Monique Gonzalez Nurse Practitioner 311 Camden St., Suite 510, San Antonio, TX 78215 2017-03-01
1477958015 Rachel Lynn Stein Nurse Practitioner 311 Camden St Ste 501, San Antonio, TX 78215 2014-10-24
1962837005 Jessica Maria Leighton Nurse Practitioner 926 Brooklyn Ave Ste 100, San Antonio, TX 78215 2013-09-09
1891037123 Michael Aguilar Davila Clinic/Center 303 E Quincy Ste 104, Physician Health Services, San Antonio, TX 78215 2013-03-25
1265669584 Colin Townes Son Neurological Surgery 123 Roy Smith St Apt 1211, San Antonio, TX 78215 2009-06-12
1306082292 Dario Fernandez Physical Therapist 302 E Josephine St Ste 1101, San Antonio, TX 78215 2008-12-23
1992966584 Vcphcs Vii, LLC Clinic/Center 519 E. Quincy, San Antonio, TX 78215 2008-06-17
1871686360 Inocencio A. Davila, M.d.,p.a. Anesthesiology 621 N. Alamo, San Antonio, TX 78215 2006-10-02
1730282708 Elizabeth S Brickman Pediatrics 311 Camden, Suite 214, San Antonio, TX 78215 2006-09-06
Find all providers in zip 78215

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174188718 Kesar Family Pllc Internal Medicine 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 2019-05-09
1740611177 Christie L Mannino Internal Medicine 19284 Stone Oak Pkwy Ste 102, San Antonio, TX 78258-3474 2013-12-11
1457549032 Desh Bandhu Sharma Internal Medicine 3303 Rodgers Rd, Suite 250, San Antonio, TX 78251 2007-10-09
1912082355 Joycelyn Marie Theard Internal Medicine 3338 Oak Well Ct, # 205, San Antonio, TX 78218 2006-10-26
1548350598 Seema A Dar Internal Medicine 19284 Stone Oak Pkwy, Suite 102, San Antonio, TX 78258-3473 2006-10-13
1942390901 Seema A Dar, Md Pa Internal Medicine 19284 Stone Oak Parkway, Suite 102, San Antonio, TX 78258-3474 2006-10-13
1275631525 Komaranahalli P. Ganeshappa Internal Medicine 621 Camden Street, San Antonio, TX 78215-1639 2006-09-20
1174551766 Fred F Poordad Internal Medicine 607 Camden St Ste 108, San Antonio, TX 78215 2006-06-30
1396799847 Maria Rita Lepe Suastegui Internal Medicine 607 Camden St, Suite 101, San Antonio, TX 78215 2006-05-20
1558328302 Victor S Ostrower Internal Medicine 8201 Ewing Halsell Dr, 2nd Flr., San Antonio, TX 78229-3707 2006-04-26
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78215

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Dataset Information

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.

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