National Provider Identifier Database

OZARK GASTROENTEROLOGY INC
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

OZARK GASTROENTEROLOGY, INC
2216 E 32ND STREET
STE 103
JOPLIN, MO64804
Phone: 417-623-5250
Fax: 417-623-8302
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for OZARK GASTROENTEROLOGY, INC

NPI Number 1295985968
Legal business name
LBN
OZARK GASTROENTEROLOGY, INC
Authorized official SUDHAKAR ANCHA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/30/2008
Last updated 04/24/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 2005009627
  • MO Other: 1346395852 INDIVIDUAL NPI
  • MO Other: 000093116 MEDICARE P10

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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