K Paul Gerstenberg, D O, P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J6456 Issued in TX

Legal business name

K PAUL GERSTENBERG, D O, P A

Doing business as

K Paul Gerstenberg, D O, P A

Practice address

2645 Nall St
Port Neches, TX 77651

Phone

(409) 210-3336

Fax

(409) 527-3969

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Kandice VarelaNPI 1104357243

Title

Office Manager

Phone

(409) 210-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• K Paul Gerstenberg, D O, P A Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 6

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

• Stephen Douglas Bell, DO

  • Family Medicine Physician
  • Port Neches, TX
  • NPI 1538426184
  Medicare reassignment Care Compare group NPD
• K Gerstenberg, D.O.

  • Family Medicine Physician
  • Port Neches, TX
  • NPI 1265430649
  Medicare reassignment Care Compare group NPD
• Ignacio Mark Ramirez, MSN FNP-C

  • Family Nurse Practitioner
  • Port Neches, TX
  • NPI 1962536086
  Medicare reassignment Care Compare group NPD
• Jennifer B. Gibson, MS, PA-C

  • Physician Assistant
  • Port Neches, TX
  • NPI 1740877893
  Medicare reassignment Care Compare group
• Cristina Sifuentes-Ayala, PA-C, MS,RD,IBCLC

  • Physician Assistant
  • Port Neches, TX
  • NPI 1285008136
  Medicare reassignment Care Compare group
• Kandice Varela

  • Other Technician
  • Port Neches, TX
  • NPI 1104357243
  NPD Authorized official

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1104824507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514707",
            "telephone_number": "409-210-3336",
            "fax_number": "409-527-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "77651",
            "telephone_number": "409-210-3336",
            "fax_number": "409-527-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2927 Nall St",
            "address_purpose": "LOCATION",
            "city": "Port Neches",
            "state": "TX",
            "postal_code": "776515603",
            "country_code": "US",
            "telephone_number": "409-210-3336",
            "fax_number": "409-527-3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K PAUL GERSTENBERG, D O, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "VARELA",
        "authorized_official_first_name": "KANDICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-210-3336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167215601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K Paul Gerstenberg, D O, P A",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "K Paul Gerstenberg, D O, P A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marianne Hunt, RT
• James a. Arisco, D.D.S.
• Barbara K James, LCSW
• Cristina Johnson
• Stephanie Jolley
• Michael G Keller, DO
• Fizzah Noor Khan, OTR/L, OTD
• Kieschnick Chiropractic PLLC
• Kimberly R. Pitts D O P a
• Ashton Knowles, OTR/L

• Family Medicine Physician in Port Neches, TX
• Providers in Port Neches, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.