Organization
JDJ GASTRO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WAYNE RAGER (PRESIDENT & CEO;SOLE MEMBER;MANAGER)
(270) 344-5473
Entity
Organization
Contact information
Practice address
1915 S MAIN ST, MADISONVILLE, KY 42431-3353
(270) 344-5473
(833) 450-6370
Mailing address
1915 S MAIN ST, MADISONVILLE, KY 42431-3353
(270) 344-5473
(833) 450-6370
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/23/2026
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