# JDJ GASTRO, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831956663
- **Authorized official:** MICHAEL WAYNE RAGER (PRESIDENT & CEO;SOLE MEMBER;MANAGER)
- **Authorized official phone:** (270) 344-5473

## Contact information

- **Practice address:** 1915 S MAIN ST, MADISONVILLE, KY 42431-3353
- **Practice address phone:** (270) 344-5473
- **Practice address fax:** (833) 450-6370
- **Mailing address:** 1915 S MAIN ST, MADISONVILLE, KY 42431-3353
- **Mailing address phone:** (270) 344-5473
- **Mailing address fax:** (833) 450-6370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2024
- **Last updated:** 02/23/2026