Bay Area Gastroenterology Associates LLC
Organization Active NPI Gastroenterology Physician · Trinity, FL
NPI 1003295767 · NPPES record last updated May 27, 2015
Key facts
- NPI
- 1003295767
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- ME110297 (FL)
- Legal business name
- BAY AREA GASTROENTEROLOGY ASSOCIATES LLC
- Practice address
- 1818 Short Branch Dr
Suite 102
Trinity, FL 34655-4425 - Phone
- (813) 230-2884
- NPI assigned
- May 27, 2015
- Organization subpart
- No
Authorized official
- Name
- Jigneshkumar B Patel, M.D.
- Title
- Managing Member
- Phone
- (813) 230-2884
Practitioners 11
-
Theodore John Strickland, M.D.
-
Yarisbel Gutierrez, APRN
-
Meagan Keane, APRN
-
Jose F Pascual, M.D.
-
Beckalove Paterniti, APRN
-
Domenick J Sorresso, M.D.
-
Christine M Womack, ARNP-C
-
Sharon C Enos, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150722005607 | FL | Part B Supplier - Clinic/Group Practice | 4082927850 |
Receives reassigned benefits from 2 practitioners Practice locations: Trinity, FL |
National Provider Directory
Locations
7545 Medical Dr
Hudson, FL 34667
Phone (727) 862-3548
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEACDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | ME110297 | FL | Yes |
Addresses
Primary practice location
1818 Short Branch Dr
Suite 102
Trinity, FL 34655-4425
Mailing address
PO Box 1149
Odessa, FL 33556-1050
Phone (813) 230-2884
Other providers in Trinity, FL
- Victoria Basile
- Natalie Eudora Bastien
- Chad Bates
- Fernando Batista Morales
- Bay Area Anesthesia LLC
- Bay Area Primary Care
- Baycare Behavioral Health Inc.
- Baycare Behavioral Health, Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
All providers in Trinity, FL · Gastroenterology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.