Organization Active NPI

Gainesville Hospital District

  • General Practice Physician
  • Gainesville, TX
National Provider Identifier
1053334342
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GAINESVILLE HOSPITAL DISTRICT
Practice address
1900 Hospital Blvd
Gainesville, TX 76240-2002
Phone
(940) 612-8602
Fax
(940) 612-8601
NPI assigned
Jul 26, 2006
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Mrs. Melissa A Walker
Title
Cfo
Phone
(940) 612-8602

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X NU
Pediatrics Physician 208000000X 00280 TX
Plastic Surgery Physician 208200000X NU
Surgery Physician 208600000X NU
General Practice Physician 208D00000X NU Primary
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU
Certified Registered Nurse Anesthetist 367500000X NU

Addresses

Primary practice location

1900 Hospital Blvd
Gainesville, TX 76240-2002

Mailing address

1900 Hospital Blvd
Gainesville, TX 76240-2002
Phone (940) 612-8602

Other identifiers 1

IdentifierTypeStateIssuer
121777005MedicaidTX

National Provider Directory

National Provider Directory

Locations

1900 Hospital Blvd
#4932
Gainesville, TX 76240

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1053334342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOSPITAL BLVD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402002",
            "telephone_number": "940-612-8602",
            "fax_number": "940-612-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HOSPITAL BLVD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402002",
            "telephone_number": "940-612-8602",
            "fax_number": "940-612-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "940-612-8602",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "00280",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121777005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.