Organization Active NPI

Gerardo a Chica, M.D.,P.a.

  • Urology Physician
  • Nederland, TX
National Provider Identifier
1942348602
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E8391 Issued in TX
Legal business name
GERARDO A CHICA, M.D.,P.A.
Practice address
1120 S 27TH St
Nederland, TX 77627-6224
Phone
(409) 727-0794
Fax
(409) 727-6030
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Gerardo Antonio Chica
Title
President
Phone
(409) 727-0794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X E8391 TX Primary

Addresses

Primary practice location

1120 S 27TH St
Nederland, TX 77627-6224

Mailing address

1120 S 27TH St
Nederland, TX 77627-6224
Phone (409) 727-0794

Other identifiers 1

IdentifierTypeStateIssuer
098137501MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1942348602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S 27TH ST",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276224",
            "telephone_number": "409-727-0794",
            "fax_number": "409-727-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S 27TH ST",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276224",
            "telephone_number": "409-727-0794",
            "fax_number": "409-727-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO A CHICA, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "CHICA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-727-0794",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "E8391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098137501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.