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PRESCOTT GASTROENTEROLOGY CONSULTANTS MEDICAL GROUP
NPI 1720110984
Internal Medicine - Gastroenterology in Prescott, AZ

Active since March 12, 2007
811 AINSWORTH DR STE 103, PRESCOTT, AZ 86301(928) 771-5548(928) 771-5549 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prescott Gastroenterology Consultants Medical Group NPPES

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

PRESCOTT GASTROENTEROLOGY CONSULTANTS MEDICAL GROUP (NPI 1720110984) is a healthcare organization registered as a gastroenterology in Prescott, Arizona and active in the NPI registry since March 2007. The organization lists Debbie Marie De Luna, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1720110984
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePRESCOTT GASTROENTEROLOGY
Location Address811 AINSWORTH DR STE 103Prescott, AZ 86301-1687
Mailing Address811 Ainsworth Dr Ste 103Prescott, AZ 86301-1687 · (928) 771-5548 · Fax (928) 771-5549
Phone(928) 771-5548
Fax(928) 771-5549
Organization SubpartNo
Authorized OfficialDebbie Marie De LunaOffice Manager · (928) 771-5548
Enumeration DateMarch 12, 2007
Last NPPES UpdateAugust 27, 2010
✔ NPI 1720110984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in AZ · 22747
Definition
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.
811 AINSWORTH DR STE 103, Prescott, AZ 86301
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Other Names 1

Other NamePrescott Gastroenterology Consultants Medical Group

Other Identifiers 2

Medicaid176950AZ
Medicare PINZ100903AZ

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

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

WILLIAM LOCKWOOD MD
Internal Medicine (Infectious Disease)
811 AINSWORTH DR STE 103
PRESCOTT, AZ 86301
Yavapai County (928) 771-5550

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 Prescott Gastroenterology's NPI number?

The NPI number for Prescott Gastroenterology is 1720110984. It was assigned to this organization in the NPPES registry on March 12, 2007. The provider is also known as Prescott Gastroenterology Consultants Medical Group.

Where is Prescott Gastroenterology located?

Prescott Gastroenterology is located at 811 Ainsworth Dr Ste 103, Prescott, AZ 86301. The listed phone number is (928) 771-5548.

What is Prescott Gastroenterology's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Prescott Gastroenterology was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.