GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA NPI 1891768123

NPI Information

NPI: 1891768123
Provider Name: GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 10D1066186

Address:
5147 N 9TH AVE STE 311
PENSACOLA, FL
ZIP 32504
Phone: (850) 477-2597
Get Directions

GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA is a gastroenterology internal medicine in Pensacola, 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. GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA NPI is 1891768123. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5147 N 9TH AVE STE 311
PENSACOLA, FL
ZIP 32504-770
Phone: (850) 477-2597
Fax: (850) 478-7941

The provider's authorized official is Stephen Dunn .
The authorized official title is Administrator/cfo and has the following contact phone number (850) 474-8988.

The CLIA number assigned to this NPI record is 10D1066186 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 2/28/2018.

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
1	207RG0100X	Internal Medicine	Gastroenterology			Yes

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
1	21821A	OTHER	FLORIDA	BCBS OF FLORIDA
2	0176	OTHER	FLORIDA	HEALTH OPTIONS
3	254428802	MEDICAID	FLORIDA
4	529201330	MEDICAID	ALABAMA
5	=========002	OTHER		TRICARE/CHAMPUS
6	CM1536	OTHER		RAILROAD 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: 11/14/2023

NPI Synchronization or Removal

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