Digestive & Liver Center, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J5833 Issued in TX

Legal business name

DIGESTIVE & LIVER CENTER, PA

Practice address

109 Parking Way St
Lake Jackson, TX 77566-5228

Phone

(979) 292-0033

Fax

(979) 292-0488

NPI assigned

Sep 7, 2005

Last updated

Jun 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Moin Meah

Title

Manager

Phone

(979) 292-0033

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nizam M. Meah, MD

  • Gastroenterology Physician
  • Lake Jackson, TX
  • NPI 1720174857
  Medicare reassignment Care Compare group NPD
• Umair Mahmood Siddiqui, MD

  • Gastroenterology Physician
  • Lake Jackson, TX
  • NPI 1316113558
  Medicare reassignment Care Compare group NPD
• Antonio R Acosta, DNP, APRN, CRNA, NSP

  • Certified Registered Nurse Anesthetist
  • Fort Stockton, TX
  • NPI 1508848839
  Medicare reassignment NPD
• Isiaka Alebiosu, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1750741583
  Medicare reassignment NPD
• Whittney Michele Batiste, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1063980951
  Medicare reassignment NPD
• Terrez Andre Collins, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1497157861
  Medicare reassignment NPD
• Jasmin Ulahannan Eapen, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1518209097
  Medicare reassignment NPD
• Editha A Flemming, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1003086315
  Medicare reassignment NPD
• Terry Bourgault Garcia, CRNA

  • Certified Registered Nurse Anesthetist
  • Temple, TX
  • NPI 1750473716
  Medicare reassignment NPD
• Lonnie Christopher Gellner

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1902195498
  Medicare reassignment NPD
• Shanetra Hodge-Hill, CRNA

  • Certified Registered Nurse Anesthetist
  • Manvel, TX
  • NPI 1982010625
  Medicare reassignment NPD
• Yu Eun Hwang

  • Nurse Practitioner
  • Lake Jackson, TX
  • NPI 1285046490
  Medicare reassignment NPD

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1851385827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PARKING WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665228",
            "telephone_number": "979-292-0033",
            "fax_number": "979-292-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARKING WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665228",
            "telephone_number": "979-292-0033",
            "fax_number": "979-292-0488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12951 South Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770471923",
            "country_code": "US",
            "telephone_number": "713-436-8171",
            "fax_number": "713-436-8169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 W Parkwood Ave",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775465700",
            "country_code": "US",
            "telephone_number": "713-439-8171",
            "fax_number": "713-436-8169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Avenue F N",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "TX",
            "postal_code": "774149573",
            "country_code": "US",
            "telephone_number": "979-292-0033",
            "fax_number": "979-292-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIGESTIVE & LIVER CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "MEAH",
        "authorized_official_first_name": "MOIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "979-292-0033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J5833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143731101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Effenberger Donald, BCBA

• Specialist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.