Gastroenterology Diagnostic Clinic,

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY DIAGNOSTIC CLINIC,

Practice address

5050 Crenshaw Rd
#200
Pasadena, TX 77505-3139

Phone

(281) 998-2488

Fax

(281) 998-2482

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Maurice S Haddad, MDNPI 1174512131

Title

Owner/Physician

Phone

(281) 998-2488

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maurice S Haddad, MD

  • Gastroenterology Physician
  • Pasadena, TX
  • NPI 1174512131
  Medicare reassignment Care Compare group Authorized official
• Joyce Marie Shedrick

  • Nurse Practitioner
  • Pasadena, TX
  • NPI 1750866414
  Medicare reassignment Care Compare group
• Nizar Chafic Charafeddine, MD

  • Gastroenterology Physician
  • Pearland, TX
  • NPI 1912090317
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1538158563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW RD",
            "address_2": "#200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "281-998-2488",
            "fax_number": "281-998-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW RD",
            "address_2": "#200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "281-998-2488",
            "fax_number": "281-998-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY DIAGNOSTIC CLINIC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "281-998-2488",
        "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": "094050401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Garman, MD
• Gary H Rosen MD PA
• Blanca Garza
• Iris Nicole Garza
• Gastro1 Receivables Purchasing, LLC
• David W Gelber, MD
• Gendi Multi Specialty Group
• Gendi Pedaitrics
• Gendi Pediatrics, P.a.
• Wagih A Gendi, MD

• Gastroenterology Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.