Organization Active NPI

Gastroenterology Associates of North Texas, LLP

  • Gastroenterology Physician
  • Fort Worth, TX
National Provider Identifier
1720005523
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY ASSOCIATES OF NORTH TEXAS, LLP
Practice address
900 W Magnolia Ave Ste 100
Fort Worth, TX 76104-8518
Phone
(817) 870-7300
Fax
(817) 332-8372
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Mrs. Kim Nelson Barham
Title
Office Manager
Phone
(817) 870-7300

Specialties & licenses 1

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

Addresses

Primary practice location

900 W Magnolia Ave Ste 100
Fort Worth, TX 76104-8518

Mailing address

900 W Magnolia Ave Ste 100
Suite 100
Fort Worth, TX 76104-8518
Phone (817) 870-7300

Other identifiers 1

IdentifierTypeStateIssuer
085307902MedicaidTX

Other names 1

  • GANT Other name

National Provider Directory

National Provider Directory

Locations

6100 Harris Pkwy
Ste 120
Fort Worth, TX 76132
Phone (817) 263-3704

6445 Harris Pkwy
Ste 100
Ft Worth, TX 76132
Phone (817) 263-0101

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1720005523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W MAGNOLIA AVE STE 100",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761048518",
            "telephone_number": "817-870-7300",
            "fax_number": "817-332-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MAGNOLIA AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761048518",
            "telephone_number": "817-870-7300",
            "fax_number": "817-332-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF NORTH TEXAS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "NELSON BARHAM",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-870-7300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085307902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GANT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.