Gastroenterology Clinic, a Professional Medical Corporation
NPI 1366442642 · Gastroenterology Physician · Monroe, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gastroenterology Clinic, a Professional Medical Corporation is a Gastroenterology Physician organization in Monroe, LA (NPI 1366442642).
Provider details
- NPI number
- 1366442642
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Waldo, Administrator(318) 325-2634
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-28
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Gastroenterology Clinic, a Professional Medical Corporation's NPI number?
- Gastroenterology Clinic, a Professional Medical Corporation's National Provider Identifier (NPI) is 1366442642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gastroenterology Clinic, a Professional Medical Corporation?
- Gastroenterology Clinic, a Professional Medical Corporation is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Gastroenterology Clinic, a Professional Medical Corporation located?
- Gastroenterology Clinic, a Professional Medical Corporation's practice location on file with NPPES is 611 Grammont St, Monroe, LA 71201-7516.
- What is Gastroenterology Clinic, a Professional Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Gastroenterology Clinic, a Professional Medical Corporation is (318) 325-2634.
- Does Gastroenterology Clinic, a Professional Medical Corporation accept Medicare?
- Gastroenterology Clinic, a Professional Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gastroenterology Clinic, a Professional Medical Corporation?
- The authorized official listed on Gastroenterology Clinic, a Professional Medical Corporation's NPPES record is Andrew Waldo, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gastroenterology Clinic, a Professional Medical Corporation's NPI active?
- Yes — Gastroenterology Clinic, a Professional Medical Corporation's NPI (1366442642) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.