OrganizationActive
Souder Gastro
NPI 1174356489 · Endoscopy Clinic/Center · Medina, TN
Souder Gastro is a Endoscopy Clinic/Center organization in Medina, TN (NPI 1174356489).
Provider details
- NPI number
- 1174356489
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bob Souder, President(731) 697-2229
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 Friendship Rd
Medina, TN 38355-8666
Phone: (731) 697-2229
Street-level locationGet directions
Mailing address
150 Friendship Rd
Medina, TN 38355-8666
Registry dates
- Enumerated
- 2024-08-22
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Frequently asked questions
- What is Souder Gastro's NPI number?
- Souder Gastro's National Provider Identifier (NPI) is 1174356489, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Souder Gastro?
- Souder Gastro is classified in the NPPES registry as Endoscopy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Souder Gastro located?
- Souder Gastro's practice location on file with NPPES is 150 Friendship Rd, Medina, TN 38355-8666.
- What is Souder Gastro's phone number?
- The practice phone number listed in the NPPES registry for Souder Gastro is (731) 697-2229.
- Who is the authorized official for Souder Gastro?
- The authorized official listed on Souder Gastro's NPPES record is Bob Souder, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Souder Gastro's NPI active?
- Yes — Souder Gastro's NPI (1174356489) is active in the NPPES registry as of the last update on 2024-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.