NPIMap

Organization Active NPI

Advanced Gastro & Liver Care PA

  • Gastroenterology Physician
  • Pinellas Park, FL
National Provider Identifier
1003880279
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME68156 Issued in FL
Legal business name
ADVANCED GASTRO & LIVER CARE PA
Practice address
6225 66TH St N
Pinellas Park, FL 33781-5025
Phone
(727) 521-0994
Fax
(727) 522-2671
NPI assigned
Feb 15, 2006
Last updated
Feb 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tejunder S Glamour, MD
Title
President
Phone
(727) 521-0994

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME68156 FL Primary
Hepatology Physician 207RI0008X ME68156 FL

Addresses

Primary practice location

6225 66TH St N
Pinellas Park, FL 33781-5025

Mailing address

PO Box 20267
Tampa, FL 33622-0267
Phone (727) 823-2188

Other identifiers 4

IdentifierTypeStateIssuer
34875OtherBCBS - GROUP #
34875OtherMCR - GROUP #
DA8281OtherMCR RR
268039400OtherMCD

National Provider Directory

National Provider Directory

Locations

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1003880279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20267",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220267",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-521-0994",
            "fax_number": "727-522-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GASTRO & LIVER CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "GLAMOUR",
        "authorized_official_first_name": "TEJUNDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-521-0994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME68156",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "FL",
            "license": "ME68156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GROUP #",
            "identifier": "34875",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR - GROUP #",
            "identifier": "34875",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RR",
            "identifier": "DA8281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD",
            "identifier": "268039400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.