Texarkana Gastroenterology Consultants, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TEXARKANA GASTROENTEROLOGY CONSULTANTS, PA

Practice address

1920 Moores LN
Suite a
Texarkana, TX 75503-4610

Phone

(903) 792-8030

NPI assigned

Apr 24, 2006

Last updated

May 7, 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

Mrs. Mary Pritchard

Title

Administrator

Phone

(903) 792-8030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://ab0ad0d3-1a1d-47a7-80b0-c0bd276b844e.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners 29

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.

• Lance Attaway, CRNA

  • Certified Registered Nurse Anesthetist
  • Texarkana, TX
  • NPI 1831375096
  Medicare reassignment Care Compare group NPD
• Laura G Balmain, MD

  • Specialist
  • Texarkana, TX
  • NPI 1386642692
  Medicare reassignment Care Compare group NPD
• James Joseph Boehmke Jr., D.O.

  • Gastroenterology Physician
  • Texarkana, TX
  • NPI 1154309375
  Medicare reassignment Care Compare group NPD
• John Cozart, MD

  • Specialist
  • Texarkana, TX
  • NPI 1952309262
  Medicare reassignment Care Compare group NPD
• Andrew Dixon Fuller, CRNA

  • Certified Registered Nurse Anesthetist
  • Texarkana, TX
  • NPI 1518286541
  Medicare reassignment Care Compare group NPD
• Holly Marie Hockaday, FNP

  • Family Nurse Practitioner
  • Texarkana, TX
  • NPI 1518630961

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Noel R Jackson, CRNA

  • Certified Registered Nurse Anesthetist
  • Texarkana, TX
  • NPI 1518965755
  Medicare reassignment Care Compare group NPD
• Sarah L Krudwig, CNP

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1962350231
  Medicare reassignment Care Compare group NPD
• Ayotokunbo Olosunde, MD

  • Gastroenterology Physician
  • Texarkana, TX
  • NPI 1548407034
  Medicare reassignment Care Compare group NPD
• Tracy Ratliff, NP

  • Nurse Practitioner
  • De Kalb, TX
  • NPI 1144931916
  Medicare reassignment Care Compare group NPD
• Robert M Ridout, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Texarkana, TX
  • NPI 1710967146
  Medicare reassignment Care Compare group NPD
• Albert Edward Scates, CRNA

  • Certified Registered Nurse Anesthetist
  • Texarkana, TX
  • NPI 1700923679
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1477519056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MOORES LN STE A",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034660",
            "telephone_number": "903-792-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MOORES LN",
            "address_2": "SUITE A",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034610",
            "telephone_number": "903-792-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA GASTROENTEROLOGY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-792-8030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texarkana ER, LLC (Texarkana Emergency Center & Hospital)
• Texarkana Eye Associates
• Texarkana Eye Associates
• Texarkana Eye Care Center LLP (Vision Source of Texarkana)
• Texarkana Family Practice, P.a.
• Texarkana Health & Wellness, LLC (United Health and Wellness)
• Texarkana Health and Wellness, LLC (United Health and Wellness)
• Texarkana Holistic Counseling PLLC
• Texarkana Ind School District (Texarkana ISD)
• Texarkana Internal Medicine Association PA

• Specialist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.