CHAMPLAIN VALLEY GASTROENTERLOGY PC – NPI #1912075250
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

CHAMPLAIN VALLEY GASTROENTERLOGY PC is a provider located in PLATTSBURGH, NY. NPPES has assigned the NPI number 1912075250 to CHAMPLAIN VALLEY GASTROENTERLOGY PC on December 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 Mar 12, 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 CHAMPLAIN VALLEY GASTROENTERLOGY PC below.

NPI Profile for
CHAMPLAIN VALLEY GASTROENTERLOGY PC

NPI Number
1912075250
Enumeration Date

(more than 19 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
CHAMPLAIN VALLEY GASTROENTERLOGY PC
Primary location
164 BOYNTON AVENUE
SUITE 5
PLATTSBURGH, NY 12901
Phone: (518) 324-7920 Fax: (518) 324-7922
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY GRETZ
OWNER
Phone: (518) 324-7920
Updated
Identifiers

Identifiers for CHAMPLAIN VALLEY GASTROENTERLOGY 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
OTHERRAILROAD MEDICARENY100015503
MEDICAIDNY02180243
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)		 NY 220526

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.