PANHANDLE GASTROENTEROLOGY, PA (NPI# 1437336211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437336211 |
| Entity Type | Organization |
| Organization Name | PANHANDLE GASTROENTEROLOGY, PA |
| Practice Address |
800 Quail Creek Dr Suite 101 Amarillo TX 79124-1634 |
| Mailing Address |
Po Box 50537 Amarillo TX 79159-0537 |
| Practice Telephone | 8063549400 |
| Practice Fax Number | 8063549403 |
| Mailing Telephone | 8063549400 |
| Mailing Fax Number | 8063549403 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | DR. KULDIP S BANWAIT (CEO) |
| Authorized Official Telephone | 8063549400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
M4993 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 184296503 | 05 | |
| TX | DPS | 00149690 | 01 |
| TX | MEDICARE GROUP BILLING NUMBER | 00Y904 | 01 |
| RAILROAD MEDICARE | DN1508 | 01 | |
| TX | AETNA PROVIDER ID | 7830853 | 01 |
| TX | JO WYATT CLINIC MEDICARE NUMBER | 8J2689 | 01 |
| TX | BCBS PROVIDER NO. | 8AW200 | 01 |
| TX | DEA | BB6852176 | 01 |
| TX | BCBS PROVIDER GROUP NO. | 0031QW | 01 |
| TX | MEDICAID GROUP BILLING NUMBER | 197441201 | 01 |
| TX | PHYSICIAN PERMIT | M4993 | 01 |
| Street Address |
800 QUAIL CREEK DR SUITE 101 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79124-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952376758 | C Sreenivasan | Internal Medicine | 800 Quail Creek Dr, Ste 101, Amarillo, TX 79124-1634 | 2006-02-23 |
| 1023570223 | Matx Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 800 Quail Creek Dr, Amarillo, TX 79124-1634 | 2019-04-05 |
| 1114106259 | Chand Bhasker Md Pa | Family Medicine | 800 Quail Creek Dr, Suite 102, Amarillo, TX 79124-1634 | 2007-10-25 |
| 1982709929 | Chand Bhasker | Specialist | 800 Quail Creek Dr, Ste 102, Amarillo, TX 79124-1634 | 2006-09-14 |
| 1699877670 | Kuldip Singh Banwait | Internal Medicine | 800 Quail Creek Dr, Suite 101, Amarillo, TX 79124-1634 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793357 | Bushland Drug, LLC | Pharmacy | 1600 S. Fm 2381, Amarillo, TX 79124 | 2019-01-10 |
| 1134691017 | Linda Darlene Podzemny | Counselor | 5250 Cliffside Road, Amarillo, TX 79124 | 2018-12-17 |
| 1356831721 | Amarillo Vii Enterprises, LLC | Skilled Nursing Facility | 1625 Point West Parkway, Amarillo, TX 79124 | 2018-05-11 |
| 1770092066 | Ama Ruby Slippers Care Inc | Home Health | 2300 N Western, Amarillo, TX 79124 | 2017-09-29 |
| 1164948451 | Saturnino Cogefar Salera | Nurse Practitioner | 203 Banks Dr, Amarillo, TX 79124 | 2017-08-17 |
| 1841714854 | Nathaniel Ryan Arismendez | Physical Therapist | 6900 John David Circle, Amarillo, TX 79124 | 2017-08-01 |
| 1811387368 | Aua Surgical Center, LLC | Clinic/Center | 8207 West Amarillo Blvd, Amarillo, TX 79124 | 2015-02-04 |
| 1053670349 | Melissa Suzanne Jones | Nurse Practitioner | 24 Care Cirlce, Amarillo, TX 79124 | 2012-05-08 |
| 1811172422 | Ammar Jarrous Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6810 Plum Creek, Amarillo, TX 79124 | 2008-01-02 |
| 1043405913 | Wesley Scott Nickens | Family Medicine | 603 Quail Creek Dr Spc 300, Amarillo, TX 79124 | 2007-09-12 |
| Find all providers in zip 79124 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790059848 | Abdul S Thannoun Md Pa | Internal Medicine | 3501 Soncy Rd Ste 107, Amarillo, TX 79119-6405 | 2012-03-06 |
| 1962438713 | Abdul Salam Thannoun | Internal Medicine | 3501 S Soncy Rd Suite 107, Amarillo, TX 79119 | 2006-06-23 |
| 1952308108 | Amit Kumar Trehan | Internal Medicine | 6833 Plum Creek Dr, Amarillo, TX 79124-1602 | 2005-07-01 |
| 1427350131 | Melvin L. Bram,m.d.,p.a. | Internal Medicine | 5211 W 9th Ave, 101, Amarillo, TX 79106-4120 | 2010-12-01 |
| 1003091000 | Srinivas Pathapati, Mdpa | Internal Medicine | 6833 Plum Creek Dr, Amarillo, TX 79124-1602 | 2008-01-08 |
| 1053523878 | William S Shear | Internal Medicine | 6700 W 9th Ave, Amarillo, TX 79106-1701 | 2007-05-04 |
| 1609909944 | Amarillo Gastroenterology Associates | Internal Medicine | 1901 Medi Park Dr, Suite 1030, Amarillo, TX 79106-2110 | 2007-03-14 |
| 1902977150 | Amit Trehan, Mdpa | Internal Medicine | 6833 Plum Creek Dr, Amarillo, TX 79124-1602 | 2006-11-10 |
| 1699877670 | Kuldip Singh Banwait | Internal Medicine | 800 Quail Creek Dr, Suite 101, Amarillo, TX 79124-1634 | 2006-09-01 |
| 1003851510 | James Edward Lusby | Internal Medicine | 6700 W 9th Ave, Amarillo, TX 79106-1729 | 2006-06-18 |
| Find all providers in AMARILLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.