SANTA ROSA GASTROENTEROLOGY NPI 1790956472

NPI Information

  • NPI: 1790956472
  • Provider Name: SANTA ROSA GASTROENTEROLOGY
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 5992 BERRYHILL RD
    SUITE 201
    MILTON, FL
    ZIP 32570
  • Phone: (850) 626-9626

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NPI Details

SANTA ROSA GASTROENTEROLOGY is a gastroenterology internal medicine in Milton, 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. SANTA ROSA GASTROENTEROLOGY NPI is 1790956472. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5992 BERRYHILL RD
SUITE 201
MILTON, FL
ZIP 32570-013
Phone: (850) 626-9626
Fax: (850) 626-9606

The provider's authorized official is Keri A Rusynyk .
The authorized official title is Office Manager and has the following contact phone number (850) 748-4420.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 12/20/2010.

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 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H84831MEDICARE UPINFLORIDA

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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