NPIMap

Organization Active NPI

North Florida Gastroenterology LLC

  • Gastroenterology Physician
  • Orange Park, FL
National Provider Identifier
1275725343
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME 85847 Issued in FL
Legal business name
NORTH FLORIDA GASTROENTEROLOGY LLC
Practice address
2045 Professional Center Dr
Orange Park, FL 32073-4461
Phone
(904) 298-2272
Fax
(904) 298-2282
NPI assigned
Aug 13, 2007
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Dr. Abdulhadi Affan Quadri, M.D.
Title
Manager
Phone
(904) 298-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME 85847 FL Primary

Addresses

Primary practice location

2045 Professional Center Dr
Orange Park, FL 32073-4461

Mailing address

2045 Professional Center Dr
Orange Park, FL 32073-4461
Phone (904) 298-2272

National Provider Directory

National Provider Directory

Locations

1689 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 269-1366

2045 Professional Center Dr
Orange Park, FL 32073
Phone (904) 276-6903

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1275725343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 PROFESSIONAL CENTER DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734461",
            "telephone_number": "904-298-2272",
            "fax_number": "904-298-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 PROFESSIONAL CENTER DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734461",
            "telephone_number": "904-298-2272",
            "fax_number": "904-298-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "QUADRI",
        "authorized_official_first_name": "ABDULHADI",
        "authorized_official_middle_name": "AFFAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-298-2272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME 85847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.