Gastroenterology Associates PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

D8539 Issued in TX

Legal business name

GASTROENTEROLOGY ASSOCIATES PA

Practice address

540 Madison Oak Dr
Suite #520
San Antonio, TX 78258-3943

Phone

(210) 490-0202

Fax

(210) 490-0648

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gerald I Green, MD

Title

President

Phone

(210) 490-0202

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1740404391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "SUITE #520",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583943",
            "telephone_number": "210-490-0202",
            "fax_number": "210-490-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "SUITE #520",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583943",
            "telephone_number": "210-490-0202",
            "fax_number": "210-490-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-490-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "D8539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z000AB485",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ID",
            "identifier": "00AB48",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael John Gass, PHARMD BCOP
• Andrew Gassman, MD
• Justin Gaston Ingram
• Nora A Gaston
• Tynan Jode Gaston
• Gastroenterology Clinic of San Antonio, P.a.
• Gastroenterology Consultants of San Antonio, P.a.
• Dhonie Gatchalian
• Stephen Thomas Gates, M.D.
• Zane P Gates

• Gastroenterology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.