Commonwealth Gastroenterology Associates, Pllc
LBN: Commonwealth Gastroenterology Associates, Pllc
Commonwealth Gastroenterology Associates, Pllc is an health care organization with primary practice located at 177 Burt Rd Burt Road Medical Clinic, Lexington KY 40503-2410. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Commonwealth Gastroenterology Associates, Pllc can be contacted via phone (859) 967-2055, or through Stadig, Bryan Keller via phone (859) 967-2055.
Contact Information
Primary practice address
177 Burt Rd Burt Road Medical Clinic
Lexington KY 40503-2410
Phone: (859) 967-2055
Fax: (859) 278-8488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1285707885 |
|---|---|
| LBN Legal business name | Commonwealth Gastroenterology Associates, Pllc |
| DBA Doing business as | |
| Authorized official | Stadig, Bryan Keller MBA, CMPE |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | May 5th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285707885 | NPPES |
| Kentucky | MEDICAID | 65930695 |
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