Southend Gastroenterology Associates Pllc
LBN: Southend Gastroenterology Associates Pllc
Southend Gastroenterology Associates Pllc is an health care organization with primary practice located at 4402 Churchman Ave Ste 408, Louisville KY 40215-1190. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Southend Gastroenterology Associates Pllc can be contacted via phone (502) 365-5140, or through Jain, Sanjay K via phone (502) 891-4000.
Contact Information
Primary practice address
4402 Churchman Ave Ste 408
Louisville KY 40215-1190
Phone: (502) 365-5140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1932438272 |
|---|---|
| LBN Legal business name | Southend Gastroenterology Associates Pllc |
| DBA Doing business as | |
| Authorized official | Jain, Sanjay K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 16th, 2009 |
| Last updated | May 17th, 2019 - about 6 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 | 1932438272 | NPPES |
| Other | 000000644156 | ANTHEM | |
| MEDICAID | 201118680 | ANTHEM | |
| Other | 7956992 | ANTHEM | |
| MEDICAID | 7100101260 | ANTHEM | |
| Other | 50027327 | ANTHEM |
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