Organization Active NPI

Gastroenterology Associates of Swla LLC

Doing business as gi associates

  • Gastroenterology Physician
  • Lake Charles, LA
National Provider Identifier
1306016522
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY ASSOCIATES OF SWLA LLC
Doing business as
gi associates
Practice address
555 Dr. Michael Debakey Dr.
Suite 101
Lake Charles, LA 70601
Phone
(337) 439-0762
Fax
(337) 436-8862
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Terri Self
Title
Practice Manager
Phone
(337) 439-0762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

555 Dr. Michael Debakey Dr.
Suite 101
Lake Charles, LA 70601

Mailing address

555 Dr. Michael Debakey Dr.
Suite 101
Lake Charles, LA 70601
Phone (337) 439-0762

Other names 1

  • gi associates Doing business as

National Provider Directory

National Provider Directory

Locations

555 Dr Michael Debakey Dr
Ste 101
Lake Charles, LA 70601
Phone (337) 439-0762

Practitioners & affiliated clinicians

Practitioners 2

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1306016522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 DR. MICHAEL DEBAKEY DR.",
            "address_2": "SUITE 101",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-439-0762",
            "fax_number": "337-436-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DR. MICHAEL DEBAKEY DR.",
            "address_2": "SUITE 101",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-439-0762",
            "fax_number": "337-436-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF SWLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "337-439-0762"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "gi associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.