Organization Active NPI

Remi Jaiyeola MD PLLC

  • Gastroenterology Physician
  • Weslaco, TX
National Provider Identifier
1487951059
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
L0476 Issued in TX
Legal business name
REMI JAIYEOLA MD PLLC
Practice address
509 E Pike Blvd
Suite C
Weslaco, TX 78596-4905
Phone
(956) 627-6020
Fax
(956) 627-6024
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. Remi R Jaiyeola, MD
Title
Director
Phone
(956) 627-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X L0476 TX Primary

Addresses

Primary practice location

509 E Pike Blvd
Suite C
Weslaco, TX 78596-4905

Mailing address

PO Box 4510
Edinburg, TX 78540-4510
Phone (956) 627-6020

Other identifiers 1

IdentifierTypeStateIssuer
283269301MedicaidTX

Other names 1

  • GASTROENTEROLOGY & LIVER DISEASE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

509 E Pike Blvd
Ste C
Weslaco, TX 78596
Phone (956) 627-6020

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": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1487951059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4510",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785404510",
            "telephone_number": "956-627-6020",
            "fax_number": "956-627-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E PIKE BLVD",
            "address_2": "SUITE C",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964905",
            "telephone_number": "956-627-6020",
            "fax_number": "956-627-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMI JAIYEOLA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "JAIYEOLA",
        "authorized_official_first_name": "REMI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-627-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L0476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283269301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GASTROENTEROLOGY & LIVER DISEASE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.