Organization Active NPI

Gastroenterology Institute, Inc.

  • Gastroenterology Physician
  • Houma, LA
National Provider Identifier
1003147364
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
201030 Issued in LA
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

Updated by the provider on Jan 26, 2010

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1099058MedicaidLA
1922116631OtherNPI

Other names 1

  • GII Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.