Gastroenterology Associates of Venice & Englewood P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME57290 Issued in FL

Legal business name

GASTROENTEROLOGY ASSOCIATES OF VENICE & ENGLEWOOD P A

Practice address

8421 Pointe Loop Dr
Venice, FL 34293-2232

Phone

(941) 412-9787

Fax

(941) 480-0388

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tariq J Khan, MDNPI 1013928282

Title

MD President

Phone

(941) 412-9787

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Tariq J Khan, MD

  • Gastroenterology Physician
  • Venice, FL
  • NPI 1013928282
  Medicare reassignment Care Compare group NPD Authorized official
• Jaffer J Khan, MD

  • Gastroenterology Physician
  • Venice, FL
  • NPI 1366453540
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184635385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1764",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342841764",
            "telephone_number": "941-412-9787",
            "fax_number": "941-480-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 POINTE LOOP DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932232",
            "telephone_number": "941-412-9787",
            "fax_number": "941-480-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF VENICE & ENGLEWOOD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "941-412-9787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME57290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7370390",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "34112",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ5399",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Beth Gamble, ARNP
• Susan Gammon, P.T.
• Eric Gancedo
• Julie L Garver, CNP
• Shane M. Garver, LPTA
• Cynthia Gates, LMHC
• Samantha Gatewood
• Remo G. Gaudiel, M.D.
• Sarah Elizabeth Gaul-Hill I
• Michele Gauss

• Specialist in Venice, FL
• Providers in Venice, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.