Organization Active NPI

Digestive Associates of Houston, PA

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1003940586
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
H7210 Issued in TX
Legal business name
DIGESTIVE ASSOCIATES OF HOUSTON, PA
Practice address
4100 S Shepherd Dr
Houston, TX 77098-5316
Phone
(713) 795-4444
Fax
(713) 795-5254
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Isaac Raijman, MD
Title
Physician Owner
Phone
(713) 795-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X H7210 TX Primary

Addresses

Primary practice location

4100 S Shepherd Dr
Houston, TX 77098-5316

Mailing address

4100 S Shepherd Dr
Houston, TX 77098-5316
Phone (713) 795-4444

Other identifiers 2

IdentifierTypeStateIssuer
148009701MedicaidTX
0076HGOtherTXBCBS GROUP #

National Provider Directory

National Provider Directory

Locations

6624 Fannin St
Ste 1640
Houston, TX 77030
Phone (713) 795-4444

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1003940586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985316",
            "telephone_number": "713-795-4444",
            "fax_number": "713-795-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985316",
            "telephone_number": "713-795-4444",
            "fax_number": "713-795-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE ASSOCIATES OF HOUSTON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "RAIJMAN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "713-795-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "H7210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148009701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0076HG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.