Lone Star Gastroenterology, P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

K4363 Issued in TX

Legal business name

LONE STAR GASTROENTEROLOGY, P.A.

Practice address

4101 W Spring Creek Pkwy
Suite 400
Plano, TX 75024-5307

Phone

(972) 867-7070

Fax

(972) 867-7878

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Gowri Balachandar, MDNPI 1669435889

Title

President

Phone

(972) 867-7070

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gowri Balachandar, M.D.

  • Gastroenterology Physician
  • Plano, TX
  • NPI 1669435889
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1295870152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W SPRING CREEK PKWY",
            "address_2": "SUITE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245307",
            "telephone_number": "972-867-7070",
            "fax_number": "972-867-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W SPRING CREEK PKWY",
            "address_2": "SUITE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245307",
            "telephone_number": "972-867-7070",
            "fax_number": "972-867-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR GASTROENTEROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "BALACHANDAR",
        "authorized_official_first_name": "GOWRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-867-7070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "K4363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158049001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan A London, MD
• Brandy London
• Lone Medical MHT LLC
• Lone Star Diagnostics, LLC
• Lone Star Face and Jaw Surgery
• Lone Star Medical Associates PLLC
• Lone Star Medlab Laboratory LLC
• Lone Star Neonatology at North Texas, PLLC
• Lone Star Surgical Center LLP
• Lone Star Surgical Center LLP

• Gastroenterology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.

Verify at the official NPI Registry.