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GASTROENTEROLOGY SPECIALISTS SC NPI 1558443549


NPI Information

NPI: 1558443549
Provider Name: GASTROENTEROLOGY SPECIALISTS SC

Doing Business As: GASTROENTEROLOGY SPECIALISTS SC

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1111 DELAFIELD ST
SUITE 212
WAUKESHA, WI
ZIP 53188
Phone: (262) 544-8622
Get Directions

GASTROENTEROLOGY SPECIALISTS SC is a gastroenterology internal medicine in Waukesha, WI. 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. GASTROENTEROLOGY SPECIALISTS SC NPI is 1558443549. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gastroenterology Specialists Sc.

The provider's business location address is:

1111 DELAFIELD ST
SUITE 212
WAUKESHA, WI
ZIP 53188-417
Phone: (262) 544-8622
Fax: (262) 544-8630

The provider's authorized official is Nicole Marquez .
The authorized official title is Billing Manager and has the following contact phone number (414) 908-6601.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 12/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyWISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132879000MEDICAIDWISCONSIN

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

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