Gastroenterology and Endoscopy Associates of Fort Worth, P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

E5808 Issued in TX

Legal business name

GASTROENTEROLOGY AND ENDOSCOPY ASSOCIATES OF FORT WORTH, P.A.

Practice address

6300 Ridglea PL Ste 1103
Fort Worth, TX 76116-5737

Phone

(817) 926-9087

Fax

(817) 924-1268

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nataraj G. Kasal, MD

Title

President

Phone

(817) 926-9087

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1689789760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 RIDGLEA PL STE 1103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165737",
            "telephone_number": "817-926-9087",
            "fax_number": "817-924-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 RIDGLEA PL STE 1103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165737",
            "telephone_number": "817-926-9087",
            "fax_number": "817-924-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND ENDOSCOPY ASSOCIATES OF FORT WORTH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "KASAL",
        "authorized_official_first_name": "NATARAJ",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-926-9087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "E5808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD3144",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0856858-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV ID #",
            "identifier": "4037687",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Garza, MD
• Victoria Garza, LCDC-I
• Yvonne M Gasigwa, FNP-C
• Roseanna Elizabeth Gasparre
• Stephanie Gastrock
• Gastroenterology Associates of North Texas
• Gastroenterology Associates of North Texas, LLP
• Gates Counseling PLLC
• Rebecca Christine Gates, LPC, LMSW
• Ryan William Gates

• Gastroenterology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.