Digestive Specialists of North Harris County PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DIGESTIVE SPECIALISTS OF NORTH HARRIS COUNTY PA

Doing business as

Digestive Specialists, PA

Practice address

111 Vision Park Blvd
Suite 150
Shenandoah, TX 77384-3002

Phone

(936) 321-0033

Fax

(936) 321-0032

NPI assigned

Jul 27, 2005

Last updated

Jul 10, 2008By 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

Liz Wilcox

Title

Billing Supervisor

Phone

(936) 321-0033

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Digestive Specialists, PA Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Digestive Specialists of North Harris County PA

  dba Digestive Specialists, PA

  • Gastroenterology Physician
  • Houston, TX
  • NPI 1992971329

  O20040913000517

  Same enrollment

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 9

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.

• Mario Cervantes-Vazquez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Kingwood, TX
  • NPI 1245234616
  Medicare reassignment Care Compare group NPD
• Ali T Dural, M.D.

  • Gastroenterology Physician
  • Shenandoah, TX
  • NPI 1376543470
  Medicare reassignment Care Compare group NPD
• Anna M Gonzales, M.D.

  • Gastroenterology Physician
  • Shenandoah, TX
  • NPI 1063412351
  Medicare reassignment Care Compare group NPD
• Abraham Winkelstein

  • Gastroenterology Physician
  • Shenandoah, TX
  • NPI 1548260920
  Medicare reassignment Care Compare group NPD
• Edward S Xavier, MD

  • Gastroenterology Physician
  • Shenandoah, TX
  • NPI 1154539757
  Medicare reassignment Care Compare group NPD
• Laura Hollis Peterkin, PA

  • Medical Physician Assistant
  • Houston, TX
  • NPI 1972661429
  Medicare reassignment Care Compare group
• Vanitha Bala, M.D.

  • Gastroenterology Physician
  • Shenandoah, TX
  • NPI 1386662351
  Medicare reassignment NPD
• Lynn R Copeland

  • Gastroenterology Physician
  • Shenandoah, TX
  • NPI 1588665335
  Medicare reassignment NPD
• Jamie Respondek Doan, FNP-C

  • Family Nurse Practitioner
  • Shenandoah, TX
  • NPI 1184065021
  Medicare reassignment NPD

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1962402420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130894",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773930894",
            "telephone_number": "936-321-0033",
            "fax_number": "936-321-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD",
            "address_2": "SUITE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843002",
            "telephone_number": "936-321-0033",
            "fax_number": "936-321-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE SPECIALISTS OF NORTH HARRIS COUNTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "936-321-0033"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0057EB",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CI6786",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158215701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158069801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Specialists, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayleigh Diaz
• David Louis Dice Jr., M.D.
• Ella Dickens, MS, LPC, LCDC
• Afton M Dickerson, NP
• Robert James Difilippo, AGACNP
• Nicole Marie Dion Jenson
• Distinctive Physical Therapy and Wellness Center PLLC
• Tiffany DO, M.A., CCC-SLP
• Jamie Respondek Doan, FNP-C
• Kendel Dolen, FNP

• Gastroenterology Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.