Active NPI
Southeast Texas Gastroenterology Associates, P.a.
- Gastroenterology Physician
- Beaumont, TX
National Provider Identifier
1720044902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- SOUTHEAST TEXAS GASTROENTEROLOGY ASSOCIATES, P.A.
- Practice address
- 950 N 14TH St
Suite 100
Beaumont, TX 77702-1101 - Phone
- (406) 833-5858
- Fax
- (403) 833-1155
- NPI assigned
- Apr 25, 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
- Dr. Joseph William Holland III, M.D.
- Title
- President
- Phone
- (409) 833-5858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
950 N 14TH St
Suite 100
Beaumont, TX 77702-1101
Mailing address
950 N 14TH St
Suite 100
Beaumont, TX 77702-1101
Phone (406) 833-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00B94S | Other | BCBS |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/6057/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1720044902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N 14TH ST",
"address_2": "SUITE 100",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021101",
"telephone_number": "406-833-5858",
"fax_number": "403-833-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N 14TH ST",
"address_2": "SUITE 100",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021101",
"telephone_number": "406-833-5858",
"fax_number": "403-833-1155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST TEXAS GASTROENTEROLOGY ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-25",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "409-833-5858",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00B94S",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Southeast Texas Community Health Clinic
- Southeast Texas Counseling & Assessment Services, PLLC
- Southeast Texas Ear, Nose & Throat, LLP
- Southeast Texas EMS
- Southeast Texas Eye Specialists, PLLC
- Southeast Texas Homecare Specialists, Inc.
- Southeast Texas Imaging LLP
- Southeast Texas Infectious Disease PLLC
- Southeast Texas Intensivists, PLLC
- Southeast Texas Medical Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.