NPIMap

Organization Active NPI

Gastro Health, LLC

  • Gastroenterology Physician
  • West Palm Beach, FL
National Provider Identifier
1104524289
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTRO HEALTH, LLC
Practice address
1117 N Olive Ave Ste 203
West Palm Beach, FL 33401-3520
Phone
(561) 802-9050
Fax
(561) 802-9059
NPI assigned
Feb 20, 2023
Organization subpart
Yes
Parent organization
GASTRO HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Alan Oliver, CEO
Title
Ceo
Phone
(786) 530-3820

Specialties & licenses 1

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

Addresses

Primary practice location

1117 N Olive Ave Ste 203
West Palm Beach, FL 33401-3520

Mailing address

1117 N Olive Ave Ste 203
West Palm Beach, FL 33401-3520
Phone (561) 802-9050

Other names 1

  • FL029 Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0866822Gastro Health1117 N Olive Ave Ste 203a, West Palm Beach, FL 33401Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Gastro Health PL76 organizations share this tax ID, including this one
Part of
Gastro Health PL

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1104524289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N OLIVE AVE STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013520",
            "telephone_number": "561-802-9050",
            "fax_number": "561-802-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N OLIVE AVE STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013520",
            "telephone_number": "561-802-9050",
            "fax_number": "561-802-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTRO HEALTH, LLC",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-530-3820",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FL029",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FL029",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.