Gulf Coast Gastroenterology, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GULF COAST GASTROENTEROLOGY, PA

Practice address

219 Oak Dr S Ste a
Lake Jackson, TX 77566-5675

Phone

(979) 297-4033

Fax

(979) 297-4099

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Britiany Bush

Title

Office Manager

Phone

(979) 297-4033

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gulf Coast Gastroenterology Infusion

  • Infusion Therapy Registered Nurse
  • Lake Jackson, TX
  • NPI 1326502634
  NPPES parent name
• Gulf Coast Gastroenterology Lab

  • Clinical Medical Laboratory
  • Lake Jackson, TX
  • NPI 1134692403
  NPPES parent name

Practitioners 5

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

• William H Sweatt, M.D.

  • Gastroenterology Physician
  • Lake Jackson, TX
  • NPI 1255330445

  Specialist

  Medicare reassignment Care Compare group NPD
• Jacalyn C Siver, P.A.-C

  • Physician Assistant
  • Lake Jackson, TX
  • NPI 1013912609
  Medicare reassignment Care Compare group
• Jami Damron, APRN

  • Nurse Practitioner
  • Pasadena, TX
  • NPI 1982366209
  Medicare reassignment NPD
• Esther Lifafe, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1306100433
  Medicare reassignment NPD
• Laverne P Reid

  • Doula
  • Spring, TX
  • NPI 1598639627
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1104904077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CIRCLE WAY ST STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665200",
            "telephone_number": "979-297-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 OAK DR S STE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665675",
            "telephone_number": "979-297-4033",
            "fax_number": "979-297-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST GASTROENTEROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "BRITIANY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-297-4033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181777701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus Guevara III, LPC
• Gulf Coast Dental PC
• Gulf Coast Eye Center, P.a.
• Gulf Coast Gastroenterology Infusion
• Gulf Coast Gastroenterology Lab
• Gulf Coast Med Supplies LLC
• Gulf Coast Plastic Surgery P a
• Gulf Coast Primary Home Care Inc
• Gulf Coast Sleep Center and Diagnostics LLC
• Gulf Coast Sleep Center, L.P.

• Gastroenterology Physician in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.