Gastroenterology Clinic, A Professional Medical Corporation
NPI 1366442642ActiveOrganization· Internal Medicine, Gastroenterology· Monroe, LA
Internal Medicine, Gastroenterology in Monroe, Louisiana, registered in NPPES in July 2005. The authorized official on file is Andrew W. Waldo, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366442642 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2005 |
| Last updated in NPPES | Jun 2, 2026 |
| Certified by provider | Jun 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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