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LAKESIDE GASTROENTEROLOGY AND LIVER SPECIALISTS, PLLC
NPI 1033439781
Internal Medicine - Gastroenterology in Conroe, TX

Active since June 04, 2010CLIA 45D2308010 · Certificate of Compliance
690 S LOOP 336 W STE 215, CONROE, TX 77304(936) 828-3962 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Gastroenterology And Liver Specialists, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE GASTROENTEROLOGY AND LIVER SPECIALISTS, PLLC (NPI 1033439781) is a healthcare organization registered as a gastroenterology in Conroe, Texas and active in the NPI registry since June 2010. The organization holds a CLIA Certificate of Compliance certificate valid through January 26, 2027 and lists Nelson A Tajong, Owner, as its authorized official.

NPPES Registry Identity

NPI1033439781
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameLAKESIDE GASTROENTEROLOGY AND LIVER SPECIALISTS, PLLC
Location Address690 S LOOP 336 W STE 215Conroe, TX 77304-3322
Mailing Address86 Lenox Hill DrSpring, TX 77382-2527
Phone(936) 828-3962
Organization SubpartNo
Authorized OfficialNelson A TajongOwner · (410) 530-5310
Enumeration DateJune 4, 2010
Last NPPES UpdateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
✔ NPI 1033439781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
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.
690 S LOOP 336 W STE 215, Conroe, TX 77304
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D2308010

Lakeside Gastroenterology And Liver Specialists PLLC · Conroe, TX
Active · expires Jan 26, 2027
CLIA Number45D2308010
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorDr. John Elgin
Laboratory Phone(936) 828-3962
Laboratory LocationLakeside Gastroenterology And Liver Specialists PLLC690 South Loop 336 West Ste 215, Conroe, TX 77304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN PATRICK THOMPSON PA-C
Physician Assistant
690 S LOOP 336 W STE 215
CONROE, TX 77304
Montgomery County (936) 828-3962
NDELOKE LAUDUINE TAJONG NP
Nurse Practitioner (Family)
690 S LOOP 336 W STE 215
CONROE, TX 77304
Montgomery County (936) 828-3962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Gastroenterology And Liver Specialists, PLLC's NPI number?

The NPI number for Lakeside Gastroenterology And Liver Specialists, PLLC is 1033439781. It was assigned to this organization in the NPPES registry on June 4, 2010.

Where is Lakeside Gastroenterology And Liver Specialists, PLLC located?

Lakeside Gastroenterology And Liver Specialists, PLLC is located at 690 S Loop 336 W Ste 215, Conroe, TX 77304. The listed phone number is (936) 828-3962.

What is Lakeside Gastroenterology And Liver Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Lakeside Gastroenterology And Liver Specialists, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2308010) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeside Gastroenterology And Liver Specialists, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Lakeside Gastroenterology And Liver Specialists, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Gastroenterology And Liver Specialists, PLLC was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.