GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO NE – NPI #1306263983
Clinic/Center

GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO NE is an AHC clinic located in LIVE OAK, TX. NPPES has assigned the NPI number 1306263983 to GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO NE on March 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO NE” is a dba name, the actual legal business name for this organization is GCSA AMBULATORY SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Oct 07, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO NE below.

NPI Profile for
GCSA AMBULATORY SURGERY CENTER, LLC

NPI Number
1306263983
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GCSA AMBULATORY SURGERY CENTER, LLC
Doing Business As (dba): GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO NE
Primary location
12850 TOEPPERWEIN RD.
LIVE OAK, TX 78233
Phone: (210) 614-1234 Fax: (210) 614-0952
Mailing address
4801 NW LOOP 410 STE 812
SAN ANTONIO, TX 78229-5347
Phone: (210) 614-1234 Fax: (210) 614-0952
Organization Subpart
No
Authorized Official
PETER BLACH
OFFICER / AUTHORIZED OFFICIAL
Phone: (713) 343-0832
Updated
Certification Date
Oct 07, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669