Provider Demographics
NPI:1912446105
Name:GASTROENTEROLOGY ASSOCIATES OF NORTH-CENTRAL ALABAMA INC
Entity Type:Organization
Organization Name:GASTROENTEROLOGY ASSOCIATES OF NORTH-CENTRAL ALABAMA INC
Other - Org Name:SOUTHEAST GASTRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-632-7877
Mailing Address - Street 1:52 MEDICAL PARK DR E
Mailing Address - Street 2:STE 401
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3430
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:513 BROOKWOOD BLVD STE 401
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6883
Practice Address - Country:US
Practice Address - Phone:205-870-0256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GASTROENTEROLOGY ASSOCIATES OF NORTH-CENTRAL ALABAMA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-21
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty