Active NPI
Wichita Falls Gastroenterology Associates
- Gastroenterology Physician
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- WICHITA FALLS GASTROENTEROLOGY ASSOCIATES
- Practice address
- 1104 Brook Ave
Wichita Falls, TX 76301-5049 - Phone
- (940) 687-6870
- Fax
- (940) 687-6871
- NPI assigned
- May 27, 2006
- Last updated
- Oct 27, 2021
- 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
- Louis Wilson, M.D.
- Title
- Registered Agent
- Phone
- (940) 687-6870
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1104 Brook Ave
Wichita Falls, TX 76301-5049
Mailing address
1104 Brook Ave
Wichita Falls, TX 76301-5049
Phone (940) 687-6870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1056376 | Wichita Falls Gastroenterology Associates,LLP | Certificate of waiver | Jul 13, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Wichita Falls, TX
- NPI 1477516938
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- Gastroenterology Physician
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- NPI 1184004301
-
- Gastroenterology Physician
- Wichita Falls, TX
- NPI 1447238670
-
- Family Nurse Practitioner
- Wichita Falls, TX
- NPI 1457836140
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1912370792
-
- Family Nurse Practitioner
- Wichita Falls, TX
- NPI 1992461586
-
- Gastroenterology Physician
- Wichita Falls, TX
- NPI 1285923094
-
- Gastroenterology Physician
- Wichita Falls, TX
- NPI 1962496794
-
- Gastroenterology Physician
- Wichita Falls, TX
- NPI 1922076249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635292800000",
"number": "1265489298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015049",
"telephone_number": "940-687-6870",
"fax_number": "940-687-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015049",
"telephone_number": "940-687-6870",
"fax_number": "940-687-6871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WICHITA FALLS GASTROENTEROLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "940-687-6870",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
- Wichita Falls Dentures and Dental Implants, PLLC.
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- Wichita Falls Endoscopy Center
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- Wichita Falls Family Dental PLLC (Star Image Dentistry)
- Wichita Falls Hearing LLC
- Wichita Falls Heart Clinic PLLC
- Wichita Falls I Enterprises, LLC (University Park Nursing & Rehabilitation)
- Wichita Falls Infectious Disease Assoc. P.a. (Robert L McBroom MD)
- Wichita Falls Isd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.