Active NPI
Gary S Gossen, M.D., P.a.
- Gastroenterology Physician
- San Antonio, TX
National Provider Identifier
1427386234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- F4014
- Legal business name
- GARY S GOSSEN, M.D., P.A.
- Practice address
- 4499 Medical Dr
Ste 126
San Antonio, TX 78229-3735 - Phone
- (210) 692-0088
- Fax
- (210) 692-0030
- NPI assigned
- Dec 7, 2009
- Last updated
- Jan 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy M Rice, R.N.
- Title
- Office Manager
- Phone
- (210) 692-0088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | F4014 | TX | Primary |
Addresses
Primary practice location
4499 Medical Dr
Ste 126
San Antonio, TX 78229-3735
Mailing address
4499 Medical Dr
Ste 126
San Antonio, TX 78229-3735
Phone (210) 692-0088
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F4014 | Other | TX | LICENSE NUMBER |
| 0A5483 | Other | TX | MEDICARE PTAN |
| 1124091079 | Other | TX | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Gastroenterology Physician
- San Antonio, TX
- NPI 1053490631
Member Of
Locations
4499 Medical Dr
Ste 126
San Antonio, TX 78229
Phone (210) 692-0088
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1730279068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263859200000",
"number": "1427386234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4499 MEDICAL DR",
"address_2": "STE 126",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293735",
"telephone_number": "210-692-0088",
"fax_number": "210-692-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4499 MEDICAL DR",
"address_2": "STE 126",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293735",
"telephone_number": "210-692-0088",
"fax_number": "210-692-0030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY S GOSSEN, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-07",
"last_updated": "2010-01-19",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "210-692-0088",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "F4014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "F4014",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0A5483",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1124091079",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.