Gastro East Physicians, Pllc

LBN: Gastro East Physicians, Pllc
Gastro East Physicians, Pllc is an health care organization with primary practice located at 3950 Kresge Way Ste 207, Louisville KY 40207-4637. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gastro East Physicians, Pllc can be contacted via phone (502) 893-0220, or through Heine, Kevin J. via phone (502) 893-0220.

Contact Information

Primary practice address
3950 Kresge Way Ste 207 Louisville KY 40207-4637
Phone: (502) 893-0220
Fax: (502) 893-0563
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kevin J. Doctor of Medicine (MD)
Phone: (502) 893-0220

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 207RG0100X Kentucky

Profile Details

NPI number 1508861139
LBN Legal business name Gastro East Physicians, Pllc
DBA Doing business as
Authorized official Heine, Kevin J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508861139 NPPES
Kentucky MEDICAID 65938243

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