Pediatric Gastroenterology Consulants, PA

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

K0597 Issued in TX

Legal business name

PEDIATRIC GASTROENTEROLOGY CONSULANTS, PA

Practice address

740 Hospital Dr
Suite 120
Beaumont, TX 77701-4670

Phone

(409) 813-3883

Fax

(409) 813-3848

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Bashar Alaswad, MDNPI 1851399067

Title

President

Phone

(409) 813-3883

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Bashar Alaswad, MD

  • Pediatric Gastroenterology Physician
  • Beaumont, TX
  • NPI 1851399067
  NPD (past) Authorized official
• Jan Elizabeth Dundas, MSN, C-PNP

  • Pediatric Nurse Practitioner
  • Beaumont, TX
  • NPI 1205878592
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1386687762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2183",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774972183",
            "telephone_number": "409-813-3883",
            "fax_number": "409-813-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 120",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014670",
            "telephone_number": "409-813-3883",
            "fax_number": "409-813-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY CONSULANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "ALASWAD",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-813-3883",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "K0597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179187301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loronza Tyrone Patterson Sr.
• Pca Setx LLC
• William Allen Pearce, M.D.
• Peccio Medi-Mart Plus L L C
• Stephanie White Peddy
• Pediatric Rehabilitation of Texas, Inc.
• Peds Care 4 All PLLC
• Peel Surgical, PLLC
• Suzanne Peiler
• Yuval Peleg

• Pediatric Gastroenterology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Pediatric Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.