Provider Demographics
NPI:1730387929
Name:GASTROENTEROLOGY ASSOCIATES AT THE SUMMIT, P.C.
Entity type:Organization
Organization Name:GASTROENTEROLOGY ASSOCIATES AT THE SUMMIT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-885-7788
Mailing Address - Street 1:5651 FRIST BLVD
Mailing Address - Street 2:SUITE 610
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2060
Mailing Address - Country:US
Mailing Address - Phone:615-885-7788
Mailing Address - Fax:615-885-0674
Practice Address - Street 1:5651 FRIST BLVD
Practice Address - Street 2:SUITE 610
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2060
Practice Address - Country:US
Practice Address - Phone:615-885-7788
Practice Address - Fax:615-885-0674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000012445174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TND32130Medicare UPIN
TN3383362Medicare PIN