Provider Demographics
NPI:1205895257
Name:DIGESTIVE HEALTH SPECIALISTS, P.C.
Entity type:Organization
Organization Name:DIGESTIVE HEALTH SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:786-530-3820
Mailing Address - Street 1:4 MEETING HOUSE ROAD
Mailing Address - Street 2:SUITE 6-8
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824
Mailing Address - Country:US
Mailing Address - Phone:978-454-9811
Mailing Address - Fax:978-937-9281
Practice Address - Street 1:4 MEETING HOUSE ROAD
Practice Address - Street 2:SUITE 6-8
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824
Practice Address - Country:US
Practice Address - Phone:978-454-9811
Practice Address - Fax:978-937-9281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
M15374OtherBLUE CROSS & BLUE SHIELD
MA9765905Medicaid
MA9765905Medicaid