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DIGESTIVE DISEASES CENTER NPI 1831394766


NPI Information

NPI: 1831394766
Provider Name: DIGESTIVE DISEASES CENTER
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
2920 MCINTYRE DR STE 310
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 331-0233
Get Directions

DIGESTIVE DISEASES CENTER is a gastroenterology internal medicine in Bloomington, IN. 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. DIGESTIVE DISEASES CENTER NPI is 1831394766. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2920 MCINTYRE DR STE 310
BLOOMINGTON, IN
ZIP 47403-215
Phone: (812) 331-0233
Fax: (812) 331-0287

The provider's authorized official is Richard A Weddle .
The authorized official title is President and has the following contact phone number (812) 331-0233.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 4/29/2008.


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 MedicineGastroenterology01031299AINDIANAYes

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
1200890860AMEDICAIDINDIANA
2C87056MEDICARE UPININDIANA
3545460MEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE
4100184520MEDICAIDINDIANA

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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