Organization Active NPI

Gi Associates of Lewisville, PLLC

  • Gastroenterology Physician
  • Lewisville, TX
National Provider Identifier
1780959361
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI ASSOCIATES OF LEWISVILLE, PLLC
Practice address
475 Elm St
Suite 203
Lewisville, TX 75057-3762
Phone
(214) 222-3571
Fax
(214) 222-3601
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Jeff Henderson
Title
Authorized Official
Phone
(972) 401-8720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

475 Elm St
Suite 203
Lewisville, TX 75057-3762

Mailing address

475 Elm St
Suite 203
Lewisville, TX 75057-3762
Phone (214) 222-3571

National Provider Directory

National Provider Directory

Locations

475 Elm St
Ste 203
Lewisville, TX 75057
Phone (214) 712-2466

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": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1780959361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ELM ST",
            "address_2": "SUITE 203",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573762",
            "telephone_number": "214-222-3571",
            "fax_number": "214-222-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 ELM ST",
            "address_2": "SUITE 203",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573762",
            "telephone_number": "214-222-3571",
            "fax_number": "214-222-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI ASSOCIATES OF LEWISVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-401-8720"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.