Provider Demographics
NPI:1376599902
Name:GASTROINTESTINAL ASSOCIATES, INC
Entity Type:Organization
Organization Name:GASTROINTESTINAL ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROSENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN,CGRN
Authorized Official - Phone:267-620-1122
Mailing Address - Street 1:1095 RYDAL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RYDAL
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1711
Mailing Address - Country:US
Mailing Address - Phone:267-620-1100
Mailing Address - Fax:215-572-1279
Practice Address - Street 1:1095 RYDAL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RYDAL
Practice Address - State:PA
Practice Address - Zip Code:19046-1711
Practice Address - Country:US
Practice Address - Phone:267-620-1100
Practice Address - Fax:215-572-1279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA154611OtherAMERIHEALTH
PA154611OtherPERSONAL CHOICE
PA1000647OtherKEYSTONE MERCY
PAG386694OtherOXFORD
PA0046045000OtherKEYSTONE HEALTH PLAN EAST
PA0266483OtherCIGNA
PA14617OtherHEALTH PARTNERS
PA154611OtherHIGHMARK BLUE SHIELD
PA0007541710012Medicaid
PA7474058OtherAETNA
PAG386694OtherOXFORD
PA0266483OtherCIGNA
PA1000647OtherKEYSTONE MERCY
PA7474058OtherAETNA
PA154611Medicare ID - Type UnspecifiedMEDICARE