Pediatric Gastroenterology of Florida , PA

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

ME82537 Issued in FL

Legal business name

PEDIATRIC GASTROENTEROLOGY OF FLORIDA , PA

Practice address

13770 Plantation Rd
Unit 4
Fort Myers, FL 33912-4460

Phone

(239) 561-6365

Fax

(239) 561-6264

NPI assigned

Jan 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jayshree Ganatra, M.D.NPI 1073554846

Title

President

Phone

(239) 561-6365

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jayshree V Ganatra, M.D.

  • Pediatric Gastroenterology Physician
  • Fort Myers, FL
  • NPI 1073554846
  NPD (past) Authorized official
• Vijay Ganatra, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1215992144
  NPD (past)

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1093952152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD",
            "address_2": "UNIT 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-561-6365",
            "fax_number": "239-561-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD",
            "address_2": "UNIT 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124460",
            "telephone_number": "239-561-6365",
            "fax_number": "239-561-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY OF FLORIDA , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "GANATRA",
        "authorized_official_first_name": "JAYSHREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-561-6365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME82537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262706600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra J Peck, APRN
• Joani Pederson
• Pediatric & Perinatal Corp
• Pediatric Centers of Lee Co
• Pediatric ENT of Southwest Florida PLLC
• Pediatric Neurology of SW FL, PA
• Pediatric Orthopedics of Southwest FL
• Pediatric Services of America, LLC
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc

• Pediatric Gastroenterology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatric Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.