NPIMap

Organization Active NPI

Gastroenterology and Liver Diseases of Central Florida PA

  • Gastroenterology Physician
  • Orange City, FL
National Provider Identifier
1083881239
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME90434 Issued in FL
Legal business name
GASTROENTEROLOGY AND LIVER DISEASES OF CENTRAL FLORIDA PA
Practice address
2541 S Volusia Ave Ste 300
Orange City, FL 32763-9116
Phone
(386) 218-6893
Fax
(386) 218-6895
NPI assigned
May 15, 2008
Last updated
May 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Dr. Saad M Khan, MDNPI 1083663819
Title
President
Phone
(407) 399-1311

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X ME90434 FL Primary
Hepatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0008X ME90434 FL

Addresses

Primary practice location

2541 S Volusia Ave Ste 300
Orange City, FL 32763-9116

Mailing address

PO Box 950177
Lake Mary, FL 32795-0177
Phone (386) 218-6893

National Provider Directory

National Provider Directory

Locations

2501 S Volusia Ave
Ste 100
Orange City, FL 32763
Phone (386) 774-0401

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": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1083881239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950177",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327950177",
            "telephone_number": "386-218-6893",
            "fax_number": "386-218-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 S VOLUSIA AVE STE 300",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639116",
            "telephone_number": "386-218-6893",
            "fax_number": "386-218-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND LIVER DISEASES OF CENTRAL FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-399-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME90434",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": "FL",
            "license": "ME90434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.