Organization Active NPI

Zompa Guderian Enterprises, PLLC

  • Urgent Care Clinic/Center
  • Galveston, TX
National Provider Identifier
1033311303
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
J8561 Issued in TX
Legal business name
ZOMPA GUDERIAN ENTERPRISES, PLLC
Doing business as
WEST ISLE URGENT CARE
Practice address
2027 61St St
Galveston, TX 77551-1401
Phone
(409) 744-9800
Fax
(409) 744-8844
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Edward Zompa, MDNPI 1265457667
Title
Medical Doctor
Phone
(409) 744-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Urgent Care Clinic/Center 261QU0200X J8561 TX Primary

Addresses

Primary practice location

2027 61St St
Galveston, TX 77551-1401

Mailing address

2027 61St St
Galveston, TX 77551-1401
Phone (409) 744-9800

Other names 1

  • WEST ISLE URGENT CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080618000379 TX Part B Supplier - Clinic/Group Practice 5991876948 Receives reassigned benefits from 3 practitioners
Practice locations: Galveston, TX

National Provider Directory

National Provider Directory
Tax ID family
West Isle Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1033311303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 61ST ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511401",
            "telephone_number": "409-744-9800",
            "fax_number": "409-744-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 61ST ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511401",
            "telephone_number": "409-744-9800",
            "fax_number": "409-744-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOMPA GUDERIAN ENTERPRISES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "ZOMPA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "409-744-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "J8561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST ISLE URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.