GASTROENTEROLOGY GROUP LLC NPI 1245272541

NPI Information

  • NPI: 1245272541
  • Provider Name: GASTROENTEROLOGY GROUP, LLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Former Legal Business Name: GASTROENTEROLOGY GROUP, A MEDICAL CORPORATION
  • CLIA Number: 19D0460367
  • Address: 131 CHEROKEE ROSE LN
    COVINGTON, LA
    ZIP 70433
  • Phone: (985) 871-1721

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NPI Details

GASTROENTEROLOGY GROUP, LLC is a gastroenterology internal medicine in Covington, LA. 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. GASTROENTEROLOGY GROUP, LLC NPI is 1245272541. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Gastroenterology Group, A Medical Corporation.

The provider's business location address is:

131 CHEROKEE ROSE LN
COVINGTON, LA
ZIP 70433-195
Phone: (985) 871-1721
Fax: (985) 871-4049

The provider's authorized official is Hazel Brauen .
The authorized official title is Practice Manager and has the following contact phone number (985) 871-1721.

The CLIA number assigned to this NPI record is 19D0460367 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 6/9/2022.

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
1174400000XSpecialistNo
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
109015774MEDICAIDMISSISSIPPI
21799181MEDICAIDLOUISIANA
3CK5954OTHERMISSISSIPPIMEDICARE RAILROAD
4CG2313OTHERLOUISIANAMEDICARE RAILROAD
5CN9069OTHERLOUISIANAMEDICARE RAILROAD

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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