Organization Active NPI

GSPS Gastroenterology PLLC

  • Gastroenterology Physician
  • Longview, TX
National Provider Identifier
1225332562
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GSPS GASTROENTEROLOGY PLLC
Practice address
701 E Marshall Ave
Suite 200
Longview, TX 75601-5659
Phone
(903) 236-2222
NPI assigned
Dec 30, 2010
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Kristine Glover
Title
Evp/Coo
Phone
(903) 315-5704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

701 E Marshall Ave
Suite 200
Longview, TX 75601-5659

Mailing address

PO Box 731386
Dallas, TX 75373-1386
Phone (903) 236-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1225332562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731386",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731386",
            "telephone_number": "903-236-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL AVE",
            "address_2": "SUITE 200",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015659",
            "telephone_number": "903-236-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSPS GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "EVP/COO",
        "authorized_official_telephone_number": "903-315-5704"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 14, 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.