G I DIAGNOSTIC AND THERAPEUTIC CENTER LLC (NPI# 1760467732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760467732 |
| Entity Type | Organization |
| Organization Name | G I DIAGNOSTIC AND THERAPEUTIC CENTER LLC |
| Practice Address |
1310 Wolf Park Dr Germantown TN 38138-1741 |
| Practice Telephone | 9016245151 |
| Practice Fax Number | 9016245280 |
| Mailing Telephone | 9016245151 |
| Mailing Fax Number | 9016245280 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2013-07-08 |
| Authorized Official Name | MR. DAVID HARANO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9016821233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
0000000041 | TN | Ambulatory Health Care Facilities |
| Street Address |
1310 WOLF PARK DR |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568813517 | Amanda Berry | Nurse Practitioner | 1310 Wolf Park Dr, Germantown, TN 38138-1741 | 2016-06-30 |
| 1285828020 | Sarah Elizabeth Hodge | Nurse Anesthetist, Certified Registered | 1310 Wolf Park Dr, Germantown, TN 38138 | 2007-09-05 |
| 1417932492 | Gastroenterology Center of The Midsouth, P.C. | Internal Medicine | 1310 Wolf Park Dr, Germantown, TN 38138-1741 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902808488 | Memphis Gastroenterology Endoscopy | Clinic/Center | 8000 Wolf River Blvd, Suite 200, Germantown, TN 38138 | 2005-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082702 | Clarksville Endoscopy Center | Clinic/Center | 132 Hillcrest Dr, Clarksville, TN 37043-5000 | 2005-09-07 |
| 1770859738 | Clarksville Endoscopy Center LLC | Clinic/Center | 132 Hillcrest Dr, Clarksville, TN 37043-5000 | 2012-03-23 |
| 1174859516 | Hermitage Tn Endoscopy Asc, LLC | Clinic/Center | 5653 Frist Blvd, Suite 532, Hermitage, TN 37076-2062 | 2009-10-20 |
| 1326176215 | Nashville Gastrointestinal Specialists, LLC | Clinic/Center | 4230 Harding Road, Suite 309w, Nashville, TN 37205-2013 | 2007-03-01 |
| 1801923636 | Nashville Gastrointestinal Specialists, LLC | Clinic/Center | 2010 Church Street, Suite 420, Nashville, TN 37203-2012 | 2007-02-28 |
| 1790811222 | Nashville Gastroenterology and Hepatology, PC | Clinic/Center | 330 Wallace Rd, Suite 103, Nashville, TN 37211-4893 | 2007-02-26 |
| 1831249341 | Endoscopy Center of The Mid-south, LLC | Clinic/Center | 3960 Knight Arnold Rd, Suite 117, Memphis, TN 38118-3035 | 2007-01-10 |
| 1326142878 | Lebanon Endoscopy Center LLC | Clinic/Center | 100 Physicians Way, Suite 340, Lebanon, TN 37090-8103 | 2006-09-12 |
| 1982718524 | Gastrointestinal Specialists of Clarksville, PC | Clinic/Center | 280 Warfield Blvd, Clarksville, TN 37043-1828 | 2006-08-19 |
| 1235140385 | Endoscopy Center of Kingsport | Clinic/Center | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4657 | 2006-08-11 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on G I DIAGNOSTIC AND THERAPEUTIC CENTER 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.