Organization
FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A.
Active
Parent organization
FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A.
Other names
Fayetteville Endoscopy
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A.
Authorized official
MRS. TINA M. CASILLO (PRACTICE ADMINISTRATOR)
(910) 323-5203
Entity
Organization
Contact information
Practice address
2041 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3745
(910) 323-5203
(910) 323-3650
Mailing address
2041 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3745
(910) 323-5203
(910) 323-3650
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
AS0071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2380979
MEDICARE FACILITY NUMBER
NC
Enumeration date
08/30/2007
Last updated
02/11/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us