Provider Demographics
NPI:1871732875
Name:GASTROENTEROLOGY CONSULTANTS OF DC
Entity type:Organization
Organization Name:GASTROENTEROLOGY CONSULTANTS OF DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEARER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-301-4762
Mailing Address - Street 1:106 IRVING ST NW
Mailing Address - Street 2:SUITE 216
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2927
Mailing Address - Country:US
Mailing Address - Phone:866-301-4762
Mailing Address - Fax:717-456-5318
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:SUITE 216
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:866-301-4762
Practice Address - Fax:717-456-5318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDPENDINGMedicare PIN