Organization Active NPI

Kingwood Gastroenterology PLLC

  • Gastroenterology Physician
  • Livingston, TX
National Provider Identifier
1033716014
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
KINGWOOD GASTROENTEROLOGY PLLC
Practice address
210 W Park Ste 100
Livingston, TX 77351-8337
Phone
(281) 501-5652
NPI assigned
Oct 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Dr. Georg Elias, MDNPI 1952542680
Title
Manager
Phone
(618) 559-5196

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 1

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

Addresses

Primary practice location

210 W Park Ste 100
Livingston, TX 77351-8337

Mailing address

PO Box 87
Porter, TX 77365-0087
Phone (618) 559-5196

Other practice location 1

24044 Highway 59 N
Kingwood, TX 77339-1500
Phone (281) 501-5652

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBHCCD

Practitioners & affiliated clinicians

Practitioners 1

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": "1601683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1033716014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773650087",
            "telephone_number": "618-559-5196",
            "fax_number": "800-718-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W PARK STE 100",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773518337",
            "telephone_number": "281-501-5652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24044 Highway 59 N",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773391500",
            "country_code": "US",
            "telephone_number": "281-501-5652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGWOOD GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "GEORG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-559-5196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.