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CONSULTATIVE GASTROENTEROLGY, PA
NPI 1104895911
Specialist in Anderson, SC

Active since March 15, 2006
118 MONTGOMERY DR, ANDERSON, SC 29621(864) 224-1692(864) 224-0103 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Consultative Gastroenterolgy, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONSULTATIVE GASTROENTEROLGY, PA (NPI 1104895911) is a healthcare organization registered as a specialist in Anderson, South Carolina and active in the NPI registry since March 2006. The organization lists Carl M Lund, President, as its authorized official.

NPPES Registry Identity

NPI1104895911
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCONSULTATIVE GASTROENTEROLGY, PA
Location Address118 MONTGOMERY DRAnderson, SC 29621-3334
Mailing Address118 Montgomery DrAnderson, SC 29621-3334 · (864) 224-1692 · Fax (864) 224-0103
Phone(864) 224-1692
Fax(864) 224-0103
Organization SubpartNo
Authorized OfficialCarl M LundPresident · (864) 224-1692
Enumeration DateMarch 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104895911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
118 MONTGOMERY DR, Anderson, SC 29621
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Other Identifiers 1

MedicaidPA3736SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAHZAD H SHEIKH M.D.
Internal Medicine (Gastroenterology)
118 MONTGOMERY DR
ANDERSON, SC 29621
Anderson County (864) 512-5849
DAVID W POTTS MD
Internal Medicine (Infectious Disease)
118 MONTGOMERY DR
ANDERSON, SC 29621
Anderson County (864) 512-3915
MRS. LAZEDRA MONAH MYISHA CADE APRN
Nurse Practitioner (Psychiatric/Mental Health)
118 MONTGOMERY DR
ANDERSON, SC 29621
Anderson County (864) 226-9144
CARL M LUND M.D.
Internal Medicine (Gastroenterology)
118 MONTGOMERY DR
ANDERSON, SC 29621
Anderson County (864) 224-1692
DR. DONNA M POTTS MD
Internal Medicine
118 MONTGOMERY DR
ANDERSON, SC 29621
Anderson County (864) 512-3879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Consultative Gastroenterolgy, PA's NPI number?

The NPI number for Consultative Gastroenterolgy, PA is 1104895911. It was assigned to this organization in the NPPES registry on March 15, 2006.

Where is Consultative Gastroenterolgy, PA located?

Consultative Gastroenterolgy, PA is located at 118 Montgomery Dr, Anderson, SC 29621. The listed phone number is (864) 224-1692.

What is Consultative Gastroenterolgy, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Consultative Gastroenterolgy, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.