AMARILLO GASTROENTEROLOGY ASSOCIATES (NPI# 1609909944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609909944 |
| Entity Type | Organization |
| Organization Name | AMARILLO GASTROENTEROLOGY ASSOCIATES |
| Practice Address |
1901 Medi Park Dr Suite 1030 Amarillo TX 79106-2110 |
| Mailing Address |
Po Box 51508 Amarillo TX 79159-1508 |
| Practice Telephone | 8063562754 |
| Practice Fax Number | 8063562820 |
| Mailing Telephone | 8063562754 |
| Mailing Fax Number | 8063562820 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MALWINDER SINGH SIDHU (PRESIDENT) |
| Authorized Official Telephone | 8063652754 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
J8130 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1901 MEDI PARK DR SUITE 1030 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815325 | Stanley D Cook | Radiology | 1901 Medi Park Dr, Suite 2050, Amarillo, TX 79106-2110 | 2005-07-19 |
| 1396225496 | Lorelei Anne Johnson | Registered Nurse | 1901 Medi Park Dr, Amarillo, TX 79106-2110 | 2018-08-17 |
| 1184179293 | Viviana Whatley | Occupational Therapy Assistant | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2016-08-18 |
| 1891145959 | Beatriz Rey | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2016-06-20 |
| 1952755613 | Blaire Black | Speech-Language Pathologist | 1901 Medi Park Dr, Suite #2048, Amarillo, TX 79106-2110 | 2016-04-19 |
| 1912365461 | Corbie Nathaniel Grimes II | Counselor | 1901 Medi Park Dr, Suite 1038, Amarillo, TX 79106-2110 | 2016-01-28 |
| 1063887776 | Nicole Feagan | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-12-07 |
| 1902279573 | Krista Raquel Reta | Occupational Therapy Assistant | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-11-04 |
| 1164892956 | Amarillo Pediatric Clinic, Pllc | Nurse Practitioner | 1901 Medi Park Dr, Ste 65, Amarillo, TX 79106-2110 | 2015-10-06 |
| 1407226251 | Cassie Cleavinger | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| 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 |
| 1437336211 | Panhandle Gastroenterology, Pa | Internal Medicine | 800 Quail Creek Dr, Suite 101, Amarillo, TX 79124-1634 | 2008-01-24 |
| 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 |
| 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 |
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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.