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GARY VOLENTINE MD NPI 1861551665


NPI Information

NPI: 1861551665
Provider Name: GARY VOLENTINE MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
801 HARMONY ST
SUITE 404
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 322-2332
Get Directions

GARY VOLENTINE MD is a gastroenterology internal medicine in Council Bluffs, IA. 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. GARY VOLENTINE MD NPI is 1861551665. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

801 HARMONY ST
SUITE 404
COUNCIL BLUFFS, IA
ZIP 51503-106
Phone: (712) 322-2332
Fax: (712) 322-5122

The provider's authorized official is Tammy K Colegrove .
The authorized official title is Arnp and has the following contact phone number (712) 322-2332.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 10/16/2007.


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
1363LF0000XNurse PractitionerFamily107489IOWANo
2207RG0100XInternal MedicineGastroenterology21611IOWAYes

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
13941278MEDICAIDIOWA
2I9316MEDICARE PINIOWA

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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