Organization Active NPI

Tarrant Gastroenterology Associates PA

  • Gastroenterology Physician
  • Fort Worth, TX
National Provider Identifier
1497038632
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TARRANT GASTROENTEROLOGY ASSOCIATES PA
Practice address
1111 5TH Ave
Fort Worth, TX 76104-4302
Phone
(817) 877-0200
Fax
(817) 877-0203
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Priya Rangasamy, MD
Title
Owner
Phone
(817) 877-0200

Specialties & licenses 1

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

Addresses

Primary practice location

1111 5TH Ave
Fort Worth, TX 76104-4302

Mailing address

3020 Bellaire Ranch Dr Apt 1517
Fort Worth, TX 76109-1843
Phone (817) 877-0200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1497038632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BELLAIRE RANCH DR APT 1517",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091843",
            "telephone_number": "817-877-0200",
            "fax_number": "817-877-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 5TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044302",
            "telephone_number": "817-877-0200",
            "fax_number": "817-877-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT GASTROENTEROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "RANGASAMY",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-877-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.