Pasadena Gastroenterology Associates, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

F3457 Issued in TX

Legal business name

PASADENA GASTROENTEROLOGY ASSOCIATES, P.A.

Practice address

6243 Fairmont Pkwy Ste 203a
Pasadena, TX 77505-4047

Phone

(713) 946-9513

Fax

(713) 946-7210

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Karen Raines

Title

Admin

Phone

(713) 946-9513

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Digestive Health Center Doing business as

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1275619082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 PRESTON AVE",
            "address_2": "SUITE 125",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052069",
            "telephone_number": "713-946-9513",
            "fax_number": "713-946-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 FAIRMONT PKWY STE 203A",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054047",
            "telephone_number": "713-946-9513",
            "fax_number": "713-946-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA GASTROENTEROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "713-946-9513"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F3457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P085161B9",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEVEN A. FEIN MD  NPI #",
            "identifier": "1003819582",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDREW VARGAS PA-C   NPI",
            "identifier": "1619970191",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Digestive Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.