DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DIGESTIVE DISEASES CENTER

MEDICARE: DIGESTIVE DISEASES CENTER
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
1207RG0100XGastroenterology Physician01031299AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831394766
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGESTIVE DISEASES CENTER
Provider Business Mailing Address
First Line : 2920 S MCINTYRE DR STE 310
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-4215
Country : US
Telephone Number : 812-331-0233
Fax Number : 812-331-0287
Provider Business Practice Location Address
First Line : 2920 MCINTYRE DR STE 310
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-4215
Country : US
Telephone Number : 812-331-0233
Fax Number : 812-331-0287
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD A WEDDLE
Credential : MD
Telephone Number : 812-331-0233
Provider Enumeration Date : 06/20/2007
Last Update Date : 04/29/2008

Similar Medicare Providers

1720515463 — AHMED IBRAHIM MD
Practice Location Address:
2920 S MCINTIRE DR STE 350
BLOOMINGTON, IN
47403-4215
Practice Phone: 812-353-3277
Practice Fax:
1346222833 — BRIAN SETH WARNER PA-C
Practice Location Address:
2920 S MCINTIRE DR STE 350
BLOOMINGTON, IN
47403-4215
Practice Phone: 812-353-3277
Practice Fax: 812-339-2934
1093968083 — KELLY MUNN AUD
Practice Location Address:
2920 S MCINTIRE DR STE 350
BLOOMINGTON, IN
47403-4215
Practice Phone: 812-332-2226
Practice Fax: 812-339-2934
1164979456 — STEPHANIE FRYE NP
Practice Location Address:
2920 S MCINTIRE DR STE 350
BLOOMINGTON, IN
47403-4215
Practice Phone: 812-353-3272
Practice Fax: 812-353-3408
1023592300 — DANIELLE LEE ROGERS NP
Practice Location Address:
2920 S MCINTIRE DR STE 350
BLOOMINGTON, IN
47403-4215
Practice Phone: 812-332-2226
Practice Fax: 812-339-2934
1609651355 — DR. EMILY THOMAS AU.D.
Practice Location Address:
2920 S MCINTIRE DR STE 350
BLOOMINGTON, IN
47403-4215
Practice Phone: 812-353-3277
Practice Fax:

Directions to “DIGESTIVE DISEASES CENTER ” 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.