Provider Type Icon

SOUTHTOWNS GASTROENTEROLOGY PLLC NPI 1679872055


NPI Information

NPI: 1679872055
Provider Name: SOUTHTOWNS GASTROENTEROLOGY, PLLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
3065 SOUTHWESTERN BLVD
STE 100
ORCHARD PARK, NY
ZIP 14127
Phone: (716) 677-9220
Get Directions

SOUTHTOWNS GASTROENTEROLOGY, PLLC is a gastroenterology internal medicine in Orchard Park, NY. 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. SOUTHTOWNS GASTROENTEROLOGY, PLLC NPI is 1679872055. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3065 SOUTHWESTERN BLVD
STE 100
ORCHARD PARK, NY
ZIP 14127-239
Phone: (716) 677-9220
Fax: (716) 677-9226

The provider's authorized official is Albert Diaz-ordaz .
The authorized official title is Physician and has the following contact phone number (716) 677-9220.

The enumeration date for this NPI number is 3/24/2011 and was last updated on 3/28/2011.


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 MedicineGastroenterology162503NEW YORKYes

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
1C57918MEDICARE UPINNEW YORK

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: 11/14/2023

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.