GG Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GG MEDICAL

Practice address

4900 Medical Dr
Bossier City, LA 71112-4521

Phone

(318) 747-9500

NPI assigned

Dec 30, 2020

Last updated

Feb 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tharwat Ghattas, MD

Title

Owner

Phone

(318) 207-3206

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1376130849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52133",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124521",
            "telephone_number": "318-747-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9111 Linwood Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711066509",
            "country_code": "US",
            "telephone_number": "318-688-0961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 Claiborne Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034298",
            "country_code": "US",
            "telephone_number": "318-868-4421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9320 Linwood Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711067003",
            "country_code": "US",
            "telephone_number": "318-688-8504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GG MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "GHATTAS",
        "authorized_official_first_name": "THARWAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-207-3206",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.