BUFFALO TRACE GASTROENTEROLOGY PLLC NPI 1508971722

NPI Information

  • NPI: 1508971722
  • Provider Name: BUFFALO TRACE GASTROENTEROLOGY PLLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 991 MEDICAL PARK DR STE 203
    MAYSVILLE, KY
    ZIP 41056
  • Phone: (606) 759-5157

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NPI Details

BUFFALO TRACE GASTROENTEROLOGY PLLC is a gastroenterology internal medicine in Maysville, KY. 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. BUFFALO TRACE GASTROENTEROLOGY PLLC NPI is 1508971722. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

991 MEDICAL PARK DR STE 203
MAYSVILLE, KY
ZIP 41056-728
Phone: (606) 759-5157
Fax: (606) 759-5582

The provider's authorized official is Kami Jarrells .
The authorized official title is Practice Manager and has the following contact phone number (606) 759-4869.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 4/2/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology34725KENTUCKYYes

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
100127MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYMEDICARE 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: 3/30/2025

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