Individual provider Active NPI

Janis J Fowler-Gulde, M.D.

  • Internal Medicine Physician
  • Hitchcock, TX
National Provider Identifier
1780688598
Registry record updated Dec 19, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Mar 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1438 Issued in TX
Practice address
6801 Delany Rd
Hitchcock, TX 77563-1734
Phone
(409) 986-5521
Fax
(409) 986-9625
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1438 TX Primary

Addresses

Primary practice location

6801 Delany Rd
Hitchcock, TX 77563-1734

Mailing address

2 N Flamingo St
La Marque, TX 77568-6528
Phone (409) 440-9336

Other practice location 1

525 Blossom St
Webster, TX 77598-4209
Phone (832) 915-2454

Other practice location 2

2 N Flamingo St
LA Marque, TX 77568-6528
Phone (409) 440-9336

Other identifiers 1

IdentifierTypeStateIssuer
118049906MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Physicians Care, P.a. PastSince May 12, 2011 Accepting new patients
Chelation Centers of Texas Internal Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1780688598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N FLAMINGO ST",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775686528",
            "telephone_number": "409-440-9336",
            "fax_number": "888-443-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 DELANY RD",
            "city": "HITCHCOCK",
            "state": "TX",
            "postal_code": "775631734",
            "telephone_number": "409-986-5521",
            "fax_number": "409-986-9625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Blossom St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984209",
            "country_code": "US",
            "telephone_number": "832-915-2454",
            "fax_number": "832-915-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 N Flamingo St",
            "address_purpose": "LOCATION",
            "city": "LA Marque",
            "state": "TX",
            "postal_code": "775686528",
            "country_code": "US",
            "telephone_number": "409-440-9336",
            "fax_number": "888-443-3008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER-GULDE",
        "first_name": "JANIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118049906",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hitchcock, TX

Sources for this page

Verify at the official NPI Registry.