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SOUDER GASTRO
NPI 1174356489
Clinic/Center - Endoscopy in Medina, TN

Active since August 22, 2024
150 FRIENDSHIP RD, MEDINA, TN 38355(731) 697-2229 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Souder Gastro NPPES

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

SOUDER GASTRO (NPI 1174356489) is a healthcare organization registered as an endoscopy in Medina, Tennessee and active in the NPI registry since August 2024. The organization lists Bob Souder, President, as its authorized official.

NPPES Registry Identity

NPI1174356489
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameSOUDER GASTRO
Location Address150 FRIENDSHIP RDMedina, TN 38355-8666
Mailing Address150 Friendship RdMedina, TN 38355-8666
Phone(731) 697-2229
Organization SubpartNo
Authorized OfficialBob SouderPresident · (731) 697-2229
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1174356489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
150 FRIENDSHIP RD, Medina, TN 38355
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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 Souder Gastro's NPI number?

The NPI number for Souder Gastro is 1174356489. It was assigned to this organization in the NPPES registry on August 22, 2024.

Where is Souder Gastro located?

Souder Gastro is located at 150 Friendship Rd, Medina, TN 38355. The listed phone number is (731) 697-2229.

What is Souder Gastro's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

When was this NPI record last updated?

The NPPES record for Souder Gastro was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.