Gastroenterology Associates Of Southeast Arkansas, P.A.

LBN: Gastroenterology Associates Of Southeast Arkansas, P.A.
Gastroenterology Associates Of Southeast Arkansas, P.A. is an health care organization with primary practice located at 1609 W 40Th Ave Suite 312, Pine Bluff AR 71603-6329. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Gastroenterology Associates Of Southeast Arkansas, P.A. can be contacted via phone (870) 534-3344, or through Gordon, O T via phone (870) 534-3344.

Contact Information

Primary practice address
1609 W 40Th Ave Suite 312 Pine Bluff AR 71603-6329
Fax: (870) 534-3517
Website:
Authorized official contact:
Name: Gordon, O T Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X C5353 Arkansas

Profile Details

NPI number 1346289709
LBN Legal business name Gastroenterology Associates Of Southeast Arkansas, P.A.
DBA Doing business as
Authorized official Gordon, O T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Mar 24th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346289709 NPPES
Arkansas Other 5C989 BLUE CROSS BLUE SHIELD
Arkansas Other DB2069 BLUE CROSS BLUE SHIELD

Popular Providers