WACO GASTROENTEROLOGY ASSOCIATES NPI 1215987490

NPI Information

  • NPI: 1215987490
  • Provider Name: WACO GASTROENTEROLOGY ASSOCIATES
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • CLIA Number: 45D0726025
  • Address: 364 RICHLAND WEST CIR
    SUITE A
    WACO, TX
    ZIP 76712
  • Phone: (254) 537-0911

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NPI Details

WACO GASTROENTEROLOGY ASSOCIATES is a gastroenterology internal medicine in Waco, TX. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. WACO GASTROENTEROLOGY ASSOCIATES NPI is 1215987490. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

364 RICHLAND WEST CIR
SUITE A
WACO, TX
ZIP 76712-919
Phone: (254) 537-0911
Fax: (254) 537-0313

The provider's authorized official is Kacy Baitz .
The authorized official title is Administrator and has the following contact phone number (254) 537-0911.

The CLIA number assigned to this NPI record is 45D0726025 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 2/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZC0006XPathologyClinical PathologyNo
2207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1081724901MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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