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Digestive Disease Specialists of N.E. Alabama, P.C.

Details

Name: Digestive Disease Specialists of N.E. Alabama, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 02 Dec 1991 (33 years ago)
Entity Number: 000-146-618
Register Number: 000146618
ZIP code: 35903
County: Etowah
Place of Formation: Etowah County
Principal Address: GADSDEN, AL
Registered Office Street Address: 900 GOODYEAR AVENUE, SUITE AGADSDEN, AL 35903
Authorized Capital: $6,000

Activities GASTROENTEROLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174668651 2007-02-21 2008-04-02 900 GOODYEAR AVE, SUITE A, GADSDEN, AL, 359031107, US 900 GOODYEAR AVE, SUITE A, GADSDEN, AL, 359031107, US

Contacts

Phone +1 256-492-3220
Fax 2564923759

Authorized person

Name VIJAYAPRASAD TUMMALA
Role PARTNER
Phone 2564923220

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA CASH BALANCE PLAN 2020 631054404 2021-11-11 DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA, P.C. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564923220
Plan sponsor’s address 900 GOODYEAR AVENUE, SUITE A, GADSDEN, AL, 359031145

Signature of

Role Plan administrator
Date 2021-11-11
Name of individual signing VIJAYAPRASAD TUMMALA
DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA CASH BALANCE PLAN 2020 631054404 2021-06-07 DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564923220
Plan sponsor’s address 900 GOODYEAR AVENUE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2021-06-07
Name of individual signing VIJAYAPRASAD TUMMALA
DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA CASH BALANCE PLAN 2019 631054404 2020-05-12 DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564923220
Plan sponsor’s address 900 GOODYEAR AVENUE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2020-05-12
Name of individual signing THOMAS PUGLIESE
DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA CASH BALANCE PLAN 2018 631054404 2019-06-13 DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564923220
Plan sponsor’s address 900 GOODYEAR AVENUE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2019-06-13
Name of individual signing THOMAS PUGLIESE
DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA CASH BALANCE PLAN 2017 631054404 2018-08-24 DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564923220
Plan sponsor’s address 900 GOODYEAR AVENUE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2018-08-24
Name of individual signing THOMAS PUGLIESE
DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA CASH BALANCE PLAN 2016 631054404 2017-06-14 DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564923220
Plan sponsor’s address 900 GOODYEAR AVENUE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2017-06-14
Name of individual signing THOMAS PUGLIESE
DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA CASH BALANCE PLAN 2015 631054404 2016-06-15 DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564923220
Plan sponsor’s address 900 GOODYEAR AVENUE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2016-06-15
Name of individual signing THOMAS PUGLIESE
DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA CASH BALANCE PLAN 2014 631054404 2015-07-28 DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA 23
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564923220
Plan sponsor’s address 900 GOODYEAR AVENUE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2015-07-28
Name of individual signing THOMAS PUGLIESE
DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA CASH BALANCE PLAN 2013 631054404 2014-05-08 DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564923220
Plan sponsor’s address 900 GOODYEAR AVENUE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2014-05-08
Name of individual signing THOMAS PUGLIESE
DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA CASH BALANCE PLAN 2012 631054404 2013-05-09 DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA 25
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564923220
Plan sponsor’s address 900 GOODYEAR AVENUE, GADSDEN, AL, 35903

Plan administrator’s name and address

Administrator’s EIN 631054404
Plan administrator’s name DIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA
Plan administrator’s address 900 GOODYEAR AVENUE, GADSDEN, AL, 35903
Administrator’s telephone number 2564923220

Signature of

Role Plan administrator
Date 2013-05-09
Name of individual signing THOMAS PUGLIESE

Agent

Name Role
FERNANDEZ, CESAR Agent

Incorporator

Name Role
KAPLAN, JED L Incorporator
PUGLIESE, THOMAS A Incorporator
TUMMALA, VIJAYAPRASAD Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State