GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
NPI 1366442642
Internal Medicine - Gastroenterology in Monroe, LA

Active since July 28, 2005
611 GRAMMONT ST, MONROE, LA 71201(318) 325-2634(318) 812-1205 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, Jul 21, 2022 (2 updates tracked since 2022).

About Gastroenterology Clinic, A Professional Medical Corporation NPPES

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

GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION (NPI 1366442642) is a healthcare organization registered as a gastroenterology in Monroe, Louisiana and active in the NPI registry since July 2005. The organization lists Andrew W. Waldo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366442642
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
Location Address611 GRAMMONT STMonroe, LA 71201-7516
Mailing Address611 Grammont StMonroe, LA 71201-7516 · (318) 325-2634 · Fax (318) 812-1205
Fax(318) 812-1205
Organization SubpartNo
Authorized OfficialAndrew W. WaldoAdministrator · (318) 325-2634
Enumeration DateJuly 28, 2005
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1366442642 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.
611 GRAMMONT ST, Monroe, LA 71201

Other Identifiers 2

Other23704Blue Cross Of Louisiana
Medicaid1798240LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Gastroenterology)
611 GRAMMONT ST
MONROE, LA 71201
Nurse Practitioner (Family)
611 GRAMMONT ST
MONROE, LA 71201
Internal Medicine (Gastroenterology)
611 GRAMMONT ST
MONROE, LA 71201
Internal Medicine (Gastroenterology)
611 GRAMMONT ST
MONROE, LA 71201
Internal Medicine (Gastroenterology)
611 GRAMMONT ST
MONROE, LA 71201
Internal Medicine (Gastroenterology)
611 GRAMMONT ST
MONROE, LA 71201
Internal Medicine (Gastroenterology)
611 GRAMMONT ST
MONROE, LA 71201
Physician Assistant
611 GRAMMONT ST
MONROE, LA 71201

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 Gastroenterology Clinic, A Professional Medical Corporation's NPI number?

The NPI number for Gastroenterology Clinic, A Professional Medical Corporation is 1366442642. It was assigned to this organization in the NPPES registry on July 28, 2005.

Where is Gastroenterology Clinic, A Professional Medical Corporation located?

Gastroenterology Clinic, A Professional Medical Corporation is located at 611 Grammont St, Monroe, LA 71201. The listed phone number is (318) 325-2634.

What is Gastroenterology Clinic, A Professional Medical Corporation's specialty?

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

What insurance does Gastroenterology Clinic, A Professional Medical Corporation accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Gastroenterology Clinic, A Professional Medical Corporation 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 Gastroenterology Clinic, A Professional Medical Corporation was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.