Organization Active NPI

Institute of Colorectal Health & Wellness, LLC

  • Specialist
  • Stuart, FL
National Provider Identifier
1013157163
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 69555 Issued in FL
Legal business name
INSTITUTE OF COLORECTAL HEALTH & WELLNESS, LLC
Practice address
218 SW Atlanta Ave
Suite D
Stuart, FL 34994-2034
Phone
(772) 539-9556
NPI assigned
Mar 3, 2009
Last updated
Sep 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. Deborah Ann Demarta, M.D.NPI 1467612473
Title
Managing Member
Phone
(772) 539-9556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 69555 FL Primary

Addresses

Primary practice location

218 SW Atlanta Ave
Suite D
Stuart, FL 34994-2034

Mailing address

218 SW Atlanta Ave
Stuart, FL 34994-2034
Phone (772) 539-9556

National Provider Directory

National Provider Directory

Locations

218 SW Atlanta Ave
Stuart, FL 34994
Phone (772) 539-9556

218 SW Atlanta Ave
Ste D
Stuart, FL 34994
Phone (772) 539-9556

Practitioners & affiliated clinicians

Practitioners 1

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": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1013157163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SW ATLANTA AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942034",
            "telephone_number": "772-539-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SW ATLANTA AVE",
            "address_2": "SUITE D",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942034",
            "telephone_number": "772-539-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF COLORECTAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "DEMARTA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "772-539-9556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 69555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.