Northeastern Gastroenterology Associates, Pc
LBN: Northeastern Gastroenterology Associates, Pc
Northeastern Gastroenterology Associates, Pc is an health care organization with primary practice located at 1860 Fair Ave Suite A, Honesdale PA 18431-2108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Northeastern Gastroenterology Associates, Pc can be contacted via phone (570) 253-3391, or through Reynolds, David Dewitt via phone (570) 253-3991.
Contact Information
Primary practice address
1860 Fair Ave Suite A
Honesdale PA 18431-2108
Phone: (570) 253-3391
Fax: (570) 253-1811
Website:
Authorized official contact:
Name: Reynolds, David Dewitt Doctor of Medicine (MD)
Phone: (570) 253-3991
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1942211248 |
|---|---|
| LBN Legal business name | Northeastern Gastroenterology Associates, Pc |
| DBA Doing business as | |
| Authorized official | Reynolds, David Dewitt Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | May 18th, 2016 - about 7 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 | 1942211248 | NPPES |
| Pennsylvania | MEDICAID | 0016721410006 | |
| Pennsylvania | Other | 804251 | |
| Pennsylvania | Other | 0450817000 | |
| Pennsylvania | Other | 2400697 | |
| Pennsylvania | Other | 66362 | |
| Pennsylvania | Other | 77790 |
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