| Gastroenterology Associates | |
|
3800 Venetian Way Ste 200 Newburgh IN 47630-8257 | |
| (812) 477-6103 | |
| Not Available |
| Full Name | Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 3800 Venetian Way, Newburgh, Indiana |
| Authorized Official Name and Position | Hugh W. Moors (ADMINISTRATOR) |
| Authorized Official Contact | 8124776103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates 3800 Venetian Way Newburgh IN 47630-8257 Ph: (812) 477-6103 | Gastroenterology Associates 3800 Venetian Way Ste 200 Newburgh IN 47630-8257 Ph: (812) 477-6103 |
| NPI Number | 1376751891 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 11/18/2021 |
| Medicare PECOS PAC ID | 8022119858 |
|---|---|
| Medicare Enrollment ID | O20071207000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376751891 | NPI | - | NPPES |
| Provider Name | Lori A Lynch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588659486 PECOS PAC ID: 8820082209 Enrollment ID: I20040720001486 |
| Provider Name | Ladonna M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205857018 PECOS PAC ID: 8921088337 Enrollment ID: I20040724000176 |
| Provider Name | Rachael Elizabeth Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831118421 PECOS PAC ID: 6901812791 Enrollment ID: I20060303000101 |
| Provider Name | Michael B Rusche |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659301760 PECOS PAC ID: 2365450525 Enrollment ID: I20060329000490 |
| Provider Name | Meredith I Gamblin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245202563 PECOS PAC ID: 0446259733 Enrollment ID: I20061214000333 |
| Provider Name | Gardar Gislason |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922038157 PECOS PAC ID: 6204937048 Enrollment ID: I20071207000529 |
| Provider Name | Vajravel M Prasad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306876560 PECOS PAC ID: 7012018856 Enrollment ID: I20080617000608 |
| Provider Name | Donald Bailey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467486902 PECOS PAC ID: 2769583509 Enrollment ID: I20080618000344 |
| Provider Name | Ahmed S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194821983 PECOS PAC ID: 7214111095 Enrollment ID: I20110404000456 |
| Provider Name | Wen Cai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083902563 PECOS PAC ID: 6901063833 Enrollment ID: I20120206000279 |
| Provider Name | Sarah E Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376825380 PECOS PAC ID: 4981862513 Enrollment ID: I20120228000374 |
| Provider Name | Aaron M Holderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871863852 PECOS PAC ID: 6002066040 Enrollment ID: I20121026000724 |
| Provider Name | Aaron James Pugh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427245018 PECOS PAC ID: 2062667322 Enrollment ID: I20130518000033 |
| Provider Name | Michael Christopher Snyder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396950077 PECOS PAC ID: 4587719232 Enrollment ID: I20130718000300 |
| Provider Name | Katie E Luigs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487080529 PECOS PAC ID: 6800026253 Enrollment ID: I20140304000283 |
| Provider Name | Krista Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316346299 PECOS PAC ID: 7214159284 Enrollment ID: I20141106000422 |
| Provider Name | Peter Stephen Airel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538222047 PECOS PAC ID: 5092867937 Enrollment ID: I20171110000429 |
| Provider Name | Sara Emma Richeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720566797 PECOS PAC ID: 5395085815 Enrollment ID: I20190320001776 |
| Provider Name | Chad E Potteiger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346205358 PECOS PAC ID: 2668462110 Enrollment ID: I20191018000708 |
| Provider Name | Konstantin Boroda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336582485 PECOS PAC ID: 0446527493 Enrollment ID: I20200908000565 |
| Provider Name | Jerrod Jonathan Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871190983 PECOS PAC ID: 3173937869 Enrollment ID: I20210120001095 |
| Provider Name | Abby Elizabeth Dossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245814250 PECOS PAC ID: 4587064282 Enrollment ID: I20210617001513 |
| Provider Name | Cassilyn N Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669043030 PECOS PAC ID: 9234533407 Enrollment ID: I20210810002648 |
| Provider Name | Katlyn Langebrake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982314340 PECOS PAC ID: 8729457593 Enrollment ID: I20221219000156 |
| Provider Name | Jon Stauffer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194720177 PECOS PAC ID: 5991841769 Enrollment ID: I20231117002294 |
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