Organization Active NPI

Gastro Clinic, PA

  • Gastroenterology Physician
  • El Paso, TX
National Provider Identifier
1720682008
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTRO CLINIC, PA
Practice address
11621 Pellicano Dr
El Paso, TX 79936-6242
Phone
(915) 529-0020
NPI assigned
Nov 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

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

Authorized official

Name
Emmanuel C Gorospe, MD
Title
President
Phone
(915) 529-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

11621 Pellicano Dr
El Paso, TX 79936-6242

Mailing address

6321 Via Serena Dr
El Paso, TX 79912-2661
Phone (915) 529-0020

National Provider Directory

National Provider Directory

Locations

7100 Westwind Dr
Ste 300
El Paso, TX 79912
Phone (915) 974-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23528/brand/1/csg/1/fhir/r4

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": "1606348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606348800000",
    "number": "1720682008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 VIA SERENA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122661",
            "telephone_number": "915-529-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366242",
            "telephone_number": "915-529-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A",
        "authorized_official_last_name": "GOROSPE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-529-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.