ADVANCED GASTROENTEROLOGY – NPI #1841047560
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.

Health Care Provider Taxonomy Code for Internal Medicine

ADVANCED GASTROENTEROLOGY is a provider located in GREENWOOD, SC. NPPES has assigned the NPI number 1841047560 to ADVANCED GASTROENTEROLOGY on May 01, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED GASTROENTEROLOGY” is a dba name, the actual legal business name for this organization is SELF MEDICAL GROUP. 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 2 years ago on May 22, 2024. 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 ADVANCED GASTROENTEROLOGY below.

NPI Profile for
SELF MEDICAL GROUP

NPI Number
1841047560
Enumeration Date

(more than 2 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
SELF MEDICAL GROUP
Doing Business As (dba): ADVANCED GASTROENTEROLOGY
Primary location
160 ACADEMY AVE
GREENWOOD, SC 29646-3808
Phone: (864) 223-8090 Fax:
Mailing address
75 REMITTANCE DR DEPT 6764
CHICAGO, IL 60675-6764
Phone: (864) 725-7491 Fax:
Organization Subpart
No
Authorized Official
MATTHEW LOGAN
CEO
Phone: (864) 725-4780
Updated
Certification Date
May 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.