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GASTROINTESTINAL ASSOCIATES OF NORTHEAST TENNESSEE PC NPI 1578529632


NPI Information

NPI: 1578529632
Provider Name: GASTROINTESTINAL ASSOCIATES OF NORTHEAST TENNESSEE, PC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 44D0310688

Address:
310 N STATE OF FRANKLIN RD
SUITE 202
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 929-7111
Get Directions

GASTROINTESTINAL ASSOCIATES OF NORTHEAST TENNESSEE, PC is a gastroenterology internal medicine in Johnson City, TN. The provider is 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. GASTROINTESTINAL ASSOCIATES OF NORTHEAST TENNESSEE, PC NPI is 1578529632. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 N STATE OF FRANKLIN RD
SUITE 202
JOHNSON CITY, TN
ZIP 37604-008
Phone: (423) 929-7111
Fax: (423) 929-9448

The provider's authorized official is Penny B Rutledge .
The authorized official title is Administrator and has the following contact phone number (423) 929-7111.

The CLIA number assigned to this NPI record is 44D0310688 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyTENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13703470MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.