GAETA GASTROENTEROLOGY LLC (NPI# 1790173243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790173243 |
| Entity Type | Organization |
| Organization Name | GAETA GASTROENTEROLOGY LLC |
| Practice Address |
465 S Mount Auburn Rd Suite 102 Cape Girardeau MO 63703-4926 |
| Mailing Address |
60 Doctors Park Cape Girardeau MO 63703-4928 |
| Practice Telephone | 5733883939 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | SARAH HOLT (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5733343074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
LC001429408 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
465 S MOUNT AUBURN RD SUITE 102 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-4926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447297155 | Carmelita M Hudson-kane | Internal Medicine | 465 S Mount Auburn Rd, Suite 103, Cape Girardeau, MO 63703-4926 | 2006-06-01 |
| 1972848851 | Alliant Medical Services, LLC | Family Medicine | 465 S Mount Auburn Rd, Cape Girardeau, MO 63703 | 2012-12-04 |
| 1144528514 | Drx - Fc Management 001, LLC | Clinic/Center | 465 S Mount Auburn Rd, Suite 103, Cape Girardeau, MO 63703-4926 | 2011-03-08 |
| 1376568725 | Mark A Sindecuse | Emergency Medicine | 465 S Mount Auburn Rd, Suite 103, Cape Girardeau, MO 63703-4926 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| 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 |
|---|---|---|---|---|
| 1144336819 | James Vanpopering | Internal Medicine | 1723 Broadway St Ste 220, Cape Girardeau, MO 63701-4556 | 2006-08-22 |
| 1245284918 | Ronald M Angles | Internal Medicine | 28 S Mount Auburn Rd, Cape Girardeau, MO 63703-4914 | 2006-05-19 |
| 1922078088 | Matthew J Coleman | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-01-23 |
| 1407982200 | Wilson Prakash Pais | Internal Medicine | 28 S Mount Auburn Rd, Cape Girardeau, MO 63703-4914 | 2007-02-26 |
| 1629118278 | Wilfred Lee | Internal Medicine | 28 S Mount Auburn Rd, Cape Girardeau, MO 63703-4914 | 2007-02-06 |
| 1598820268 | Christopher Brent Keller | Internal Medicine | 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4566 | 2006-12-23 |
| 1720177397 | Trygve O Honaas | Internal Medicine | 1723 Broadway, Suite 220, Cape Girardeau, MO 63701 | 2006-10-12 |
| 1336247915 | Matthew D Gaeta | Internal Medicine | 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4505 | 2006-09-20 |
| 1396763645 | Rafid J Hussein | Internal Medicine | 28 S Mount Auburn Rd, Cape Girardeau, MO 63703-4914 | 2006-07-17 |
| 1356388557 | Timothy J Edwards | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-05-31 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on GAETA GASTROENTEROLOGY 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.