CENTER FOR DIGESTIVE DISEASES PA NPI 1619900248

NPI Information

  • NPI: 1619900248
  • Provider Name: CENTER FOR DIGESTIVE DISEASES PA
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 1609 PASADENA AVE S
    STE 3M
    ST PETERSBURG, FL
    ZIP 33707
  • Phone: (727) 384-2016

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NPI Details

CENTER FOR DIGESTIVE DISEASES PA is a gastroenterology internal medicine in St Petersburg, 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. CENTER FOR DIGESTIVE DISEASES PA NPI is 1619900248. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1609 PASADENA AVE S
STE 3M
ST PETERSBURG, FL
ZIP 33707-563
Phone: (727) 384-2016
Fax: (727) 343-3791

The provider's authorized official is Kathy F Jackson .
The authorized official title is Schedule Coornidator and has the following contact phone number (727) 384-2016.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 6/18/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyME48637FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
124038MEDICARE PINFLORIDA
224038OTHERFLORIDABCBS
3373745400MEDICAIDFLORIDA
4CL1357OTHERFLORIDARAILROAD MEDICARE

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: 11/21/2025

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