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:
Map and Directions
Authorized official contact:
Name: Jain, Sanjay K Doctor of Medicine (MD)
Phone: (502) 891-4000

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932438272 NPPES
Other 000000644156 ANTHEM
MEDICAID 201118680 ANTHEM
Other 7956992 ANTHEM
MEDICAID 7100101260 ANTHEM
Other 50027327 ANTHEM

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