| Texas Digestive Disease Consultants Pllc | |
|
2080 S Clinton Ave Rochester NY 14618-5703 | |
| (585) 271-2800 | |
| Not Available |
| Full Name | Texas Digestive Disease Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2080 S Clinton Ave, Rochester, New York |
| Authorized Official Name and Position | Kristina Kay Lowery (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4699303077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Digestive Disease Consultants Pllc Po Box 206239 Dallas TX 75320-6239 Ph: () - | Texas Digestive Disease Consultants Pllc 2080 S Clinton Ave Rochester NY 14618-5703 Ph: (585) 271-2800 |
| NPI Number | 1568283422 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 02/26/2025 |
| Medicare PECOS PAC ID | 3375531379 |
|---|---|
| Medicare Enrollment ID | O20250225001142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568283422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | George Y Kunze |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659356541 PECOS PAC ID: 4880611623 Enrollment ID: I20051031000723 |
| Provider Name | Bushra G Fazili |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750399028 PECOS PAC ID: 1052408978 Enrollment ID: I20071024000518 |
| Provider Name | Michael E Kader |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306854682 PECOS PAC ID: 1456421429 Enrollment ID: I20080603000080 |
| Provider Name | Jonathan I Goldstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396822706 PECOS PAC ID: 5395744197 Enrollment ID: I20100809000459 |
| Provider Name | Anil K Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760466254 PECOS PAC ID: 1052355112 Enrollment ID: I20110110000712 |
| Provider Name | Keely R Parisian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972611796 PECOS PAC ID: 7517121312 Enrollment ID: I20131118001672 |
| Provider Name | Jonathan Parker Wilmot |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750606141 PECOS PAC ID: 1355652900 Enrollment ID: I20160712000114 |
| Provider Name | Sarah Elizabeth Strumpf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417611385 PECOS PAC ID: 0143693309 Enrollment ID: I20230309000239 |
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