WACCAMAW GASTROENTEROLOGY, PC – NPI #1619283306
Internal Medicine

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.

WACCAMAW GASTROENTEROLOGY, PC is a provider located in GEORGETOWN, SC. NPPES has assigned the NPI number 1619283306 to WACCAMAW GASTROENTEROLOGY, PC on August 19, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WACCAMAW GASTROENTEROLOGY, PC” is a dba name, the actual legal business name for this organization is GEORGETOWN GASTROENTEROLOGY, LLC. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 11 years ago on Jun 02, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WACCAMAW GASTROENTEROLOGY, PC below.

NPI Profile for
GEORGETOWN GASTROENTEROLOGY, LLC

NPI Number
1619283306
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GEORGETOWN GASTROENTEROLOGY, LLC
Doing Business As (dba): WACCAMAW GASTROENTEROLOGY, PC
Primary location
1011 N FRASER ST
GEORGETOWN, SC 29440-2848
Phone: (843) 527-3428 Fax: (843) 546-8216
Mailing address
PO BOX 1209
MURRELLS INLET, SC 29576-1209
Phone: (843) 652-8220 Fax: (843) 527-7080
Organization Subpart
No
Authorized Official
KENTON HUNGERPILLER
BUSINESS MANAGER
Phone: (843) 652-8221
Updated
Identifiers

Identifiers for WACCAMAW GASTROENTEROLOGY, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP1579
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.