Organization Active NPI

Westchase Gastroenterology P a

  • Gastroenterology Physician
  • Tampa, FL
National Provider Identifier
1356540785
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
WESTCHASE GASTROENTEROLOGY P A
Practice address
11912 Sheldon Rd Ste B
Tampa, FL 33626-3643
Phone
(813) 920-8882
Fax
(813) 920-8883
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
John Chang, M.D.
Title
Owner
Phone
(813) 920-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

11912 Sheldon Rd Ste B
Tampa, FL 33626-3643

Mailing address

11912 Sheldon Rd Ste B
Tampa, FL 33626-3643
Phone (813) 920-8882

Other identifiers 1

IdentifierTypeStateIssuer
ME66502OtherFLSTATE LIC NUMBER

National Provider Directory

National Provider Directory

Locations

11912 Sheldon Rd
Ste B
Tampa, FL 33626
Phone (813) 920-8882

4809 N Armenia Ave
Tampa, FL 33603
Phone (813) 658-5037

2919 W Swann Ave
Ste 400A
Tampa, FL 33609
Phone (813) 871-2953

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": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1356540785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 SHELDON RD STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263643",
            "telephone_number": "813-920-8882",
            "fax_number": "813-920-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 SHELDON RD STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263643",
            "telephone_number": "813-920-8882",
            "fax_number": "813-920-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHASE GASTROENTEROLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-920-8882",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC NUMBER",
            "identifier": "ME66502",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.