Organization Active NPI

Jeffrey P Gaitz Mdpa

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1417240656
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E9070 Issued in TX
Legal business name
JEFFREY P GAITZ MDPA
Practice address
1740 W 27TH St Ste 206
Houston, TX 77008-1433
Phone
(713) 861-6555
Fax
(713) 861-4589
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Mr. Jeffrey P Gaitz, M.D.
Title
Doctor/Owner
Phone
(713) 861-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X E9070 TX Primary

Addresses

Primary practice location

1740 W 27TH St Ste 206
Houston, TX 77008-1433

Mailing address

1740 W 27TH St Ste 206
Houston, TX 77008-1433
Phone (713) 861-6555

Other identifiers 1

IdentifierTypeStateIssuer
113975001MedicaidTX

Other names 1

  • JEFFREY P. GAITZ M.D. PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000687 TX Part B Supplier - Clinic/Group Practice 5597922633 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1740 W 27th St
Ste 206
Houston, TX 77008
Phone (713) 426-6200

Practitioners & affiliated clinicians

Practitioners 1

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": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1417240656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST STE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081433",
            "telephone_number": "713-861-6555",
            "fax_number": "713-861-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST STE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081433",
            "telephone_number": "713-861-6555",
            "fax_number": "713-861-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY P GAITZ MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "GAITZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "713-861-6555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E9070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113975001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFREY P. GAITZ M.D. PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.