MEDICARE: GASTRO EAST PHYSICIANS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	207RG0100X	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508861139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GASTRO EAST PHYSICIANS, PLLC

Provider Business Mailing Address
First Line	:	3950 KRESGE WAY
Second Line	:	STE 207
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4637
Country	:	US
Telephone Number	:	502-893-0220
Fax Number	:	502-893-0563

Provider Business Practice Location Address
First Line	:	3950 KRESGE WAY
Second Line	:	STE 207
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4637
Country	:	US
Telephone Number	:	502-893-0220
Fax Number	:	502-893-0563

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KEVIN J. HEINE
Credential	:	M.D.
Telephone Number	:	502-893-0220

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1043717978 — MICHAEL HOGG
Practice Location Address:

3950 KRESGE WAY STE 207
LOUISVILLE, KY
40207-4637

Practice Phone: 502-893-0220
Practice Fax: 502-893-0563

1104821735 — MR. MICHAEL V. GREENWELL MD
Practice Location Address:

3950 KRESGE WAY , STE 207
LOUISVILLE, KY
40207-4637

Practice Phone: 502-893-0220
Practice Fax: 502-893-0563

1619974292 — DR. KEVIN J HEINE MD
Practice Location Address:

3950 KRESGE WAY , STE 207
LOUISVILLE, KY
40207-4637

Practice Phone: 502-893-0220
Practice Fax: 502-893-0563

1437157393 — BRIAN MICHAEL DOBOZI M.D.
Practice Location Address:

3950 KRESGE WAY , #207
LOUISVILLE, KY
40207-4637

Practice Phone: 502-893-0220
Practice Fax: 502-893-0563

1235138009 — DR. STEPHEN Z. SMITH M.D.
Practice Location Address:

3950 KRESGE WAY , SUITE 305
LOUISVILLE, KY
40207-4637

Practice Phone: 502-896-8803
Practice Fax:

1285634683 — ALLEN GREGORY DEAM MD
Practice Location Address:

3950 KRESGE WAY STE 303
LOUISVILLE, KY
40207-4637

Practice Phone: 502-928-0900
Practice Fax: 502-928-0901

Directions to “GASTRO EAST PHYSICIANS, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.