Organization Active NPI

Bay Area Houston Gastroenterology Associates

  • Gastroenterology Physician
  • Webster, TX
National Provider Identifier
1497970867
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
BAY AREA HOUSTON GASTROENTEROLOGY ASSOCIATES
Practice address
1015 Medical Center Blvd
Suite 1400
Webster, TX 77598-4052
Phone
(281) 338-2861
Fax
(281) 554-2035
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Stephen C Marcum, MD
Title
President
Phone
(281) 338-2861

Specialties & licenses 1

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

Addresses

Primary practice location

1015 Medical Center Blvd
Suite 1400
Webster, TX 77598-4052

Mailing address

1015 Medical Center Blvd
Suite 1400
Webster, TX 77598-4052
Phone (281) 338-2861

Other identifiers 1

IdentifierTypeStateIssuer
180767901MedicaidTX

National Provider Directory

National Provider Directory

Locations

400 W Medical Center Blvd
Ste 202
Webster, TX 77598
Phone (281) 338-2861

1015 W Medical Center Blvd
Webster, TX 77598
Phone (281) 332-0073

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1497970867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MEDICAL CENTER BLVD",
            "address_2": "SUITE 1400",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984052",
            "telephone_number": "281-338-2861",
            "fax_number": "281-554-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MEDICAL CENTER BLVD",
            "address_2": "SUITE 1400",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984052",
            "telephone_number": "281-338-2861",
            "fax_number": "281-554-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA HOUSTON GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "MARCUM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-338-2861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180767901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.