NPIMap

Organization Active NPI

Im Geriatrics Gi LLC

  • Public Health or Welfare Agency
  • Gainesville, FL
National Provider Identifier
1215115910
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
L07000118073 Issued in FL
Legal business name
IM GERIATRICS GI LLC
Practice address
2330 SW Williston Rd
Suite 2616
Gainesville, FL 32608-4000
Phone
(352) 328-1529
Fax
(352) 548-4801
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Noreen A. Cotter
Title
Manager
Phone
(352) 328-1529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X L07000118073 FL Primary

Addresses

Primary practice location

2330 SW Williston Rd
Suite 2616
Gainesville, FL 32608-4000

Mailing address

2330SW Williston Road
Suite 2616
Gainesville, FL 32608
Phone (352) 328-1529

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1215115910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330SW WILLISTON ROAD",
            "address_2": "SUITE 2616",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-328-1529",
            "fax_number": "352-548-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SW WILLISTON RD",
            "address_2": "SUITE 2616",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084000",
            "telephone_number": "352-328-1529",
            "fax_number": "352-548-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM GERIATRICS GI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-328-1529"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "L07000118073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.