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DIGESTIVE DISEASE CONSULTANTS PA NPI 1528045002


NPI Information

NPI: 1528045002
Provider Name: DIGESTIVE DISEASE CONSULTANTS PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 10D0689546

Address:
623 MAITLAND AVE
STE 2200
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 830-8661
Get Directions

DIGESTIVE DISEASE CONSULTANTS PA is a gastroenterology internal medicine in Altamonte Springs, FL. The provider is 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. DIGESTIVE DISEASE CONSULTANTS PA NPI is 1528045002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

623 MAITLAND AVE
STE 2200
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 830-8661
Fax: (407) 830-0280

The provider's authorized official is Christy A Mcintyre .
The authorized official title is Billing Supervisor and has the following contact phone number (407) 830-8661.

The CLIA number assigned to this NPI record is 10D0689546 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 3/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1377661100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.