Active NPI
Northwest Gastroenterology Associates P.a.
- Gastroenterology Physician
- Tomball, TX
National Provider Identifier
1245339522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- J2958
- Legal business name
- NORTHWEST GASTROENTEROLOGY ASSOCIATES P.A.
- Practice address
- 425 Holderrieth Blvd
Ste. 109
Tomball, TX 77375-4543 - Phone
- (281) 357-8882
- Fax
- (281) 357-8886
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Marie Laskoskie
- Title
- Credentialing Coordinator
- Phone
- (281) 392-5558
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | L3640 | TX | |
| Gastroenterology Physician | 207RG0100X | J2958 | TX | Primary |
Addresses
Primary practice location
425 Holderrieth Blvd
Ste. 109
Tomball, TX 77375-4543
Mailing address
PO Box 54
Houston, TX 77001-0054
Phone (281) 357-8882
National Provider Directory
National Provider DirectoryLocations
800 Peakwood Dr
Ste 7B
Houston, TX 77090
Phone (281) 460-2171
18220 Tomball Pkwy
Ste 250
Houston, TX 77070
Phone (281) 477-7808
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Galveston, TX
- NPI 1023117306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1245339522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770010054",
"telephone_number": "281-357-8882",
"fax_number": "281-357-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 HOLDERRIETH BLVD",
"address_2": "STE. 109",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773754543",
"telephone_number": "281-357-8882",
"fax_number": "281-357-8886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST GASTROENTEROLOGY ASSOCIATES P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "LASKOSKIE",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "281-392-5558"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "L3640",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "J2958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
- Northpoint Pharmacy LLC
- Northpointe LTC LTD
- Northwest Austin One Medical Group, PLLC
- Northwest Community Health, Inc
- Northwest Dallas Two Medical Group, PLLC
- Northwest Houston Anesthesia, P.a.
- Northwest Houston Heart Center P.a.
- Northwest Houston Neurology, PA
- Northwest Houston Three Medical Group, PLLC
- Northwest Houston Two Medical Group, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.