| Digestive Disease Specialists PC | |
|
525 Valley View Drive Moline IL 61265 | |
| (309) 601-2814 | |
| (309) 601-2803 |
| Full Name | Digestive Disease Specialists PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 525 Valley View Drive, Moline, Illinois |
| Authorized Official Name and Position | Poonputt Chotiprasidhi (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3096012814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Specialists PC 525 Valley View Dr Moline IL 61265-6138 Ph: (309) 601-2814 | Digestive Disease Specialists PC 525 Valley View Drive Moline IL 61265 Ph: (309) 601-2814 |
| NPI Number | 1891077160 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 05/28/2026 |
| Certification Date | 05/28/2026 |
| Medicare PECOS PAC ID | 7618142183 |
|---|---|
| Medicare Enrollment ID | O20111212000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891077160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (NU) | Primary |
| Provider Name | Poonputt Chotiprasidhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558363713 PECOS PAC ID: 2062475866 Enrollment ID: I20041111000394 |
| Provider Name | Chaudry Ahmad Waheed Cheema |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659375343 PECOS PAC ID: 1951319409 Enrollment ID: I20060327000047 |
| Provider Name | Jim ZB Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073590337 PECOS PAC ID: 4981505211 Enrollment ID: I20120727000410 |
| Provider Name | Kimberly L Donald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245606946 PECOS PAC ID: 7810297751 Enrollment ID: I20151130000570 |
| Provider Name | Kristin a Everhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306154844 PECOS PAC ID: 7416141171 Enrollment ID: I20170421000234 |
| Provider Name | Chelsea Mausser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861099830 PECOS PAC ID: 0244646982 Enrollment ID: I20210324000742 |
| Provider Name | Wei Xin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730112269 PECOS PAC ID: 0547218083 Enrollment ID: I20250228000733 |
| Provider Name | Natasha Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760196208 PECOS PAC ID: 2062883986 Enrollment ID: I20250801004100 |
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