Individual provider Active NPI

Lawrence William Gess Jr., PA-C

  • Medical Physician Assistant
  • Mansfield, TX
National Provider Identifier
1619955457
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00012 Issued in TX
Practice address
2364 Highway 287 N
Suite 115
Mansfield, TX 76063-9208
Phone
(817) 539-2214
Fax
(817) 539-2254
NPI assigned
Jan 3, 2006
Last updated
Jul 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00012 TX Primary

Addresses

Primary practice location

2364 Highway 287 N
Suite 115
Mansfield, TX 76063-9208

Mailing address

5300 Starry CT
Fort Worth, TX 76123-1956
Phone (817) 294-2504

Other identifiers 1

IdentifierTypeStateIssuer
3312191MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00012TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice House Calls PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lawrence.gess@210174504075268.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1619955457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 STARRY CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231956",
            "telephone_number": "817-294-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 HIGHWAY 287 N",
            "address_2": "SUITE 115",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639208",
            "telephone_number": "817-539-2214",
            "fax_number": "817-539-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESS",
        "first_name": "LAWRENCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3312191",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.