Active NPI
Gastroenterology Institute, Inc.
- Gastroenterology Physician
- Houma, LA
National Provider Identifier
1003147364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 201030
- Legal business name
- GASTROENTEROLOGY INSTITUTE, INC.
- Practice address
- 855 Belanger St
Suite 205
Houma, LA 70360-4463 - Phone
- (985) 868-7773
- Fax
- (985) 868-4242
- NPI assigned
- Jan 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Khalid M. Moussa, M.D.
- Title
- President
- Phone
- (985) 868-7773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 201030 | LA | Primary |
Addresses
Primary practice location
855 Belanger St
Suite 205
Houma, LA 70360-4463
Mailing address
PO Box 4041
Houma, LA 70361-4041
Phone (985) 868-7773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1099058 | Medicaid | LA | |
| 1922116631 | Other | NPI |
Other names 1
- GII
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264464000000",
"number": "1003147364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4041",
"city": "HOUMA",
"state": "LA",
"postal_code": "703614041",
"telephone_number": "985-868-7773",
"fax_number": "985-868-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 BELANGER ST",
"address_2": "SUITE 205",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604463",
"telephone_number": "985-868-7773",
"fax_number": "985-868-4242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY INSTITUTE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-26",
"last_updated": "2010-01-26",
"status": "A",
"authorized_official_last_name": "MOUSSA",
"authorized_official_first_name": "KHALID",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "985-868-7773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "LA",
"license": "201030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1099058",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1922116631",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GII",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.