NPIMap

Organization Active NPI

Center for Gastroenterology P a

  • Gastroenterology Physician
  • Pembroke Pines, FL
National Provider Identifier
1346489507
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME70657 Issued in FL
Legal business name
CENTER FOR GASTROENTEROLOGY P A
Practice address
12251 Taft St
Suite 301
Pembroke Pines, FL 33026-1901
Phone
(954) 433-5900
Fax
(954) 447-1933
NPI assigned
Feb 11, 2009
Last updated
Apr 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. Katherine A Kosche, M.D.NPI 1003823972
Title
President
Phone
(954) 433-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME70657 FL Primary

Addresses

Primary practice location

12251 Taft St
Suite 301
Pembroke Pines, FL 33026-1901

Mailing address

12251 Taft St
Suite 301
Pembroke Pines, FL 33026-1901
Phone (954) 433-5900

Other identifiers 1

IdentifierTypeStateIssuer
254195800MedicaidFL

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1346489507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 TAFT ST",
            "address_2": "SUITE 301",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261901",
            "telephone_number": "954-433-5900",
            "fax_number": "954-447-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 TAFT ST",
            "address_2": "SUITE 301",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261901",
            "telephone_number": "954-433-5900",
            "fax_number": "954-447-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR GASTROENTEROLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "KOSCHE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-433-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME70657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254195800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.