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CHAMPLAIN VALLEY GASTROENTERLOGY PC
NPI 1912075250
Internal Medicine - Gastroenterology in Plattsburgh, NY

Active since December 04, 2006
164 BOYNTON AVENUE, SUITE 5, PLATTSBURGH, NY 12901(518) 324-7920(518) 324-7922 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Champlain Valley Gastroenterlogy Pc NPPES

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

CHAMPLAIN VALLEY GASTROENTERLOGY PC (NPI 1912075250) is a healthcare organization registered as a gastroenterology in Plattsburgh, New York and active in the NPI registry since December 2006. The organization lists Jeffrey Gretz, Owner, as its authorized official.

NPPES Registry Identity

NPI1912075250
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCHAMPLAIN VALLEY GASTROENTERLOGY PC
Location Address164 BOYNTON AVENUE, SUITE 5Plattsburgh, NY 12901
Mailing Address164 Boynton Avenue, Suite 5Plattsburgh, NY 12901 · (518) 324-7920 · Fax (518) 324-7922
Phone(518) 324-7920
Fax(518) 324-7922
Organization SubpartNo
Authorized OfficialJeffrey GretzOwner · (518) 324-7920
Enumeration DateDecember 4, 2006
Last NPPES UpdateMarch 12, 2015
✔ NPI 1912075250 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 NY · 220526
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.
164 BOYNTON AVENUE, Plattsburgh, NY 12901
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Other Identifiers 4

Medicaid02180243NY
Other100015503NY · Railroad Medicare
Medicare UPING50685NY
Medicare PINAA0993NY

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

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 Champlain Valley Gastroenterlogy PC's NPI number?

The NPI number for Champlain Valley Gastroenterlogy PC is 1912075250. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Champlain Valley Gastroenterlogy PC located?

Champlain Valley Gastroenterlogy PC is located at 164 Boynton Avenue Suite 5, Plattsburgh, NY 12901. The listed phone number is (518) 324-7920.

What is Champlain Valley Gastroenterlogy PC'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 Champlain Valley Gastroenterlogy PC was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.