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Gastroenterology Clinic, A Professional Medical Corporation

Gastroenterology Physician in Monroe, LA · enumerated 2005 · authorized official Andrew Waldo, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366442642

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Registry record

Entity type Organization (Type 2)
Legal business name Gastroenterology Clinic, A Professional Medical Corporation
Practice address 611 Grammont St, Monroe, LA, 71201
Phone (318) 325-2634
Fax (318) 812-1205
Enumeration date Jul 28, 2005
Last updated in NPPES Jun 2, 2026

Taxonomy & classification

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Andrew Waldo
Title Administrator
Phone (318) 325-2634

Other identifiers

Identifier Type State Issuer
23704 Other - BLUE CROSS OF LOUISIANA
1798240 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Gastroenterology Clinic, A Professional Medical Corporation?
The NPI for Gastroenterology Clinic, A Professional Medical Corporation is 1366442642, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Gastroenterology Clinic, A Professional Medical Corporation?
NPPES lists Andrew Waldo (Administrator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-02.