NPIMap

Organization Active NPI

Gastro Health, LLC

  • Gastroenterology Physician
  • New Smyrna Beach, FL
National Provider Identifier
1316635030
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTRO HEALTH, LLC
Practice address
1722 State Road 44 # 390
New Smyrna Beach, FL 32168-8339
Phone
(386) 427-0390
Fax
(386) 427-0394
NPI assigned
May 1, 2023
Organization subpart
Yes
Parent organization
GASTRO HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 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

1722 State Road 44 # 390
New Smyrna Beach, FL 32168-8339

Mailing address

1722 State Road 44 # 390
New Smyrna Beach, FL 32168-8339
Phone (386) 427-0390

Other names 1

  • FL055 Other name

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1316635030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 STATE ROAD 44 # 390",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688339",
            "telephone_number": "386-427-0390",
            "fax_number": "386-427-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 STATE ROAD 44 # 390",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688339",
            "telephone_number": "386-427-0390",
            "fax_number": "386-427-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTRO HEALTH, LLC",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "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": "FL055",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FL055",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.