GASTRO HEALTH LLC NPI 1922519420

NPI Information

NPI: 1922519420
Provider Name: GASTRO HEALTH, LLC

Doing Business As: GASTRO HEALTH, LLC

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
4791 W 4TH AVE
HIALEAH, FL
ZIP 33012
Phone: (305) 825-0500
Get Directions

GASTRO HEALTH, LLC is a gastroenterology internal medicine in Hialeah, 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. GASTRO HEALTH, LLC NPI is 1922519420. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gastro Health, Llc.

The provider's business location address is:

4791 W 4TH AVE
HIALEAH, FL
ZIP 33012-938
Phone: (305) 825-0500
Fax: (305) 825-5557

The provider's authorized official is James S Leavitt .
The authorized official title is President and has the following contact phone number (305) 468-4180.

The CLIA number assigned to this NPI record is 10D2171188 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2017 and was last updated on 10/24/2017.

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 State	Primary
1	2080P0206X	Pediatrics	Pediatric Gastroenterology		No
2	208C00000X	Colon & Rectal Surgery		FLORIDA	No
3	207RG0100X	Internal Medicine	Gastroenterology	FLORIDA	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	008258300	MEDICAID	FLORIDA

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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