Organization Active NPI

Johnasan M Gregory MD PA

Doing business as Longview Gastroenterology Clinic

  • Gastroenterology Physician
  • Longview, TX
National Provider Identifier
1174939292
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G8150 Issued in TX
Legal business name
JOHNASAN M GREGORY MD PA
Doing business as
Longview Gastroenterology Clinic
Practice address
905 Pegues PL
Longview, TX 75601-4027
Phone
(903) 753-6688
Fax
(903) 238-9161
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Johnasan M Gregory, M.D.
Title
Physician
Phone
(903) 753-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G8150 TX Primary

Addresses

Primary practice location

905 Pegues PL
Longview, TX 75601-4027

Mailing address

905 Pegues PL
Longview, TX 75601-4027
Phone (903) 753-6688

Other names 1

  • Longview Gastroenterology Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1125 Judson Rd
Ste 152
Longview, TX 75601
Phone (903) 753-6688

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1174939292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 PEGUES PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014027",
            "telephone_number": "903-753-6688",
            "fax_number": "903-238-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 PEGUES PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014027",
            "telephone_number": "903-753-6688",
            "fax_number": "903-238-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNASAN M GREGORY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "JOHNASAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "903-753-6688",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "G8150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longview Gastroenterology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.