Active NPI
Gastroenterology Associates of North Texas, LLP
- Gastroenterology Physician
- Fort Worth, TX
National Provider Identifier
1720005523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085307902 | Medicaid | TX |
Other names 1
- GANT
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Fort Worth, TX
- NPI 1114149325
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
- Yvonne M Gasigwa, FNP-C
- Roseanna Elizabeth Gasparre
- Stephanie Gastrock
- Gastroenterology and Endoscopy Associates of Fort Worth, P.a.
- Gastroenterology Associates of North Texas
- Gates Counseling PLLC
- Rebecca Christine Gates, LPC, LMSW
- Ryan William Gates
- Thomas Gerald Gates, MD
- Gateway Chiropractic LLC
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.