Nacogdoches Gi Consultants PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

P2129 Issued in TX

Legal business name

NACOGDOCHES GI CONSULTANTS PLLC

Practice address

522 Russell Blvd
Nacogdoches, TX 75965

Phone

(936) 569-6449

Fax

(936) 569-2458

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Debrah Owen

Title

Office Manager

Phone

(936) 569-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carl Jones Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17663/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609147263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651244",
            "telephone_number": "936-569-2000",
            "fax_number": "936-569-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75965",
            "telephone_number": "936-569-6449",
            "fax_number": "936-569-2458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 Russell Blvd",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759651244",
            "country_code": "US",
            "telephone_number": "936-569-2000",
            "fax_number": "936-569-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NACOGDOCHES GI CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "DEBRAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-569-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P2129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TEXAS",
            "identifier": "8DC401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carl Jones",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carl Jones",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.