Organization Active NPI

Gab Endoscopy Center, LTD.

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
National Provider Identifier
1700882271
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GAB ENDOSCOPY CENTER, LTD.
Practice address
621 Camden St Ste 102
San Antonio, TX 78215-1644
Phone
(210) 253-3430
Fax
(210) 227-1196
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Jennifer Perkins
Title
Operations Manager
Phone
(210) 253-3430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

621 Camden St Ste 102
San Antonio, TX 78215-1644

Mailing address

621 Camden St Ste 102
San Antonio, TX 78215-1644
Phone (210) 253-3430

Other identifiers 3

IdentifierTypeStateIssuer
HH018AOtherTXBLUE CROSS BLUE SHIELD
162555001MedicaidTX
POO169210OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

130 E Travis St
#844
San Antonio, TX 78205

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1700882271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CAMDEN ST STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151644",
            "telephone_number": "210-253-3430",
            "fax_number": "210-227-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CAMDEN ST STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151644",
            "telephone_number": "210-253-3430",
            "fax_number": "210-227-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAB ENDOSCOPY CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "210-253-3430"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH018A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162555001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "POO169210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.