Organization Active NPI

Greater Houston Gastroenterology PLLC

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1629450747
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GREATER HOUSTON GASTROENTEROLOGY PLLC
Practice address
4100 S Shepherd Dr
Suite 213
Houston, TX 77098-5316
Phone
(832) 255-5681
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Jennifer Stano
Title
Chief Operating Officer
Phone
(832) 255-5681

Specialties & licenses 1

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

Addresses

Primary practice location

4100 S Shepherd Dr
Suite 213
Houston, TX 77098-5316

Mailing address

4100 S Shepherd Dr
Suite 213
Houston, TX 77098-5316
Phone (832) 255-5681

National Provider Directory

National Provider Directory

Locations

4100 S Shepherd Dr
Ste 213
Houston, TX 77098
Phone (832) 255-5681

1601 Main St
Ste 401
Richmond, TX 77469
Phone (281) 342-9530

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1629450747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S SHEPHERD DR",
            "address_2": "SUITE 213",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985316",
            "telephone_number": "832-255-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S SHEPHERD DR",
            "address_2": "SUITE 213",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985316",
            "telephone_number": "832-255-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HOUSTON GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "STANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "832-255-5681"
    },
    "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 Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.