NPIMap

Organization Active NPI

Gastro Health, LLC

  • Gastroenterology Physician
  • Ocoee, FL
National Provider Identifier
1124718309
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
10000 W Colonial Dr Ste 389
Ocoee, FL 34761-3433
Phone
(407) 822-1171
Fax
(407) 822-1172
NPI assigned
May 10, 2023
Last updated
May 9, 2025By the provider in NPPES
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
Title
Ceo
Phone
(786) 530-3820

Specialties & licenses 1

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

Addresses

Primary practice location

10000 W Colonial Dr Ste 389
Ocoee, FL 34761-3433

Mailing address

10000 W Colonial Dr Ste 389
Ocoee, FL 34761-3433
Phone (407) 822-1171

Other names 1

  • FL054 Other name

National Provider Directory

National Provider Directory
Tax ID family
Gastro Health LLC76 organizations share this tax ID, including this one
Part of
Gastro Health LLC

Organizations with this tax ID in the same state 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1124718309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 389",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613433",
            "telephone_number": "407-822-1171",
            "fax_number": "407-822-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 389",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613433",
            "telephone_number": "407-822-1171",
            "fax_number": "407-822-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTRO HEALTH, LLC",
        "enumeration_date": "2023-05-10",
        "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"
    },
    "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": "FL054",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FL054",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ocoee, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.