NPIMap

Organization Active NPI

Gonzales Endoscopy Center LLC

  • Endoscopy Clinic/Center
  • Gonzales, LA
National Provider Identifier
1013178417
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
GONZALES ENDOSCOPY CENTER LLC
Practice address
1433 E Highway 30
Gonzales, LA 70737-4765
Phone
(225) 647-6900
Fax
(225) 644-1453
NPI assigned
Jun 19, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Bogdan Nowakowski, MDNPI 1659476265
Title
Medical Director
Phone
(225) 229-9377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

1433 E Highway 30
Gonzales, LA 70737-4765

Mailing address

1433 E Highway 30
Gonzales, LA 70737-4765
Phone (225) 647-6900

National Provider Directory

National Provider Directory

Locations

1433 E Highway 30
Gonzales, LA 70737
Phone (225) 647-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013178417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 E HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374765",
            "telephone_number": "225-647-6900",
            "fax_number": "225-644-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 E HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374765",
            "telephone_number": "225-647-6900",
            "fax_number": "225-644-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALES ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "NOWAKOWSKI",
        "authorized_official_first_name": "BOGDAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "225-229-9377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.