Organization Active NPI

Northwest Gastroenterology Associates P.a.

  • Gastroenterology Physician
  • Tomball, TX
National Provider Identifier
1245339522
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J2958 Issued in TX
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

Updated by the provider on Nov 14, 2007

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X L3640 TX
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.