FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES P.A. NPI 1417141623

NPI Information

NPI: 1417141623
Provider Name: FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A.

Other Name: FAYETTEVILLE ENDOSCOPY

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
2041 VALLEYGATE DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 323-5203
Get Directions

FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A. is an endoscopy clinic center in Fayetteville, NC. FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A. NPI is 1417141623. The provider is registered as an organization entity type.
The provider Other Name Is Fayetteville Endoscopy.

The provider's business location address is:

2041 VALLEYGATE DR
FAYETTEVILLE, NC
ZIP 28304-745
Phone: (910) 323-5203
Fax: (910) 323-3650

The provider's authorized official is Tina M. Casillo .
The authorized official title is Practice Administrator and has the following contact phone number (910) 323-5203.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 2/11/2021.

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
1	261QE0800X	Clinic/Center	Endoscopy	AS0071	NORTH CAROLINA	Yes

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
1	2380979	OTHER	NORTH CAROLINA	MEDICARE FACILITY NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »