GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
NPI 1366442642
Internal Medicine - Gastroenterology in Monroe, LA
NPI Status: Active since July 28, 2005
Contact Information
611 GRAMMONT ST
MONROE, LA
ZIP 71201
Phone: (318) 325-2634
Fax: (318) 812-1205
- Organization
- Internal Medicine
- Gastroenterology
- Accepts Insurance
- CLIA Number: 19D2140034
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-13-2025
About GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
This page provides the complete NPI Profile along with additional information for Gastroenterology Clinic, A Professional Medical Corporation, an internist established in Monroe, Louisiana operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1366442642 assigned on July 2005. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Andrew W. Waldo (Administrator)
- NPI
- 1366442642
- Provider Name
- GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
- Entity Type
- Organization
- Location Address
- 611 GRAMMONT ST MONROE, LA 71201
- Location Phone
- (318) 325-2634
- Location Fax
- (318) 812-1205
- Mailing Address
- 611 GRAMMONT ST MONROE, LA 71201
- Mailing Phone
- (318) 325-2634
- Mailing Fax
- (318) 812-1205
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-28-2005
- Last Update Date
- 07-21-2022
- Code Navigator
An internist like Gastroenterology Clinic, A Professional Medical Corporation is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License State
- LA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
- Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
- Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
- Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (BR) - POS
- Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (M) - POS
- Precision Blue 90/70 $9900 with 2 $0 PCP Virtual Visits (M) HSA Eligible - POS
- Precision Blue Copay (PCP) 50/50 $7500 Standardized (BR) HSA Eligible - POS
- Precision Blue Copay (PCP) 50/50 $7500 Standardized (M) HSA Eligible - POS
- Precision Blue Copay (PCP) 60/40 $6000 Standardized (BR) - POS
- Precision Blue Copay (PCP) 60/40 $6000 Standardized (M) - POS
- Precision Blue Copay (PCP) 75/55 $2000 Standardized (BR) - POS
- Precision Blue Copay (PCP) 75/55 $2000 Standardized (M) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23704 | OTHER (01) | BLUE CROSS OF LOUISIANA | |
| 1798240 | MEDICAID (05) | LA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D2140034
- Facility Type
- Physician Office
- Certificate Effective Date
- November 14, 2023
- Certificate Expiration Date
- November 13, 2025
- Laboratory Director
- HENRY H. HINKIE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gastroenterology Clinic, A Professional Medical Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366442642, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366442642, enumerated as an "organization" on July 28, 2005.
The provider is located at 611 GRAMMONT ST MONROE, LA 71201 and the phone number is (318) 325-2634.
Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.
