Organization Active NPI

Certified Solutions Inc.

  • Gastroenterology Physician
  • Jensen Beach, FL
National Provider Identifier
1376960393
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CERTIFIED SOLUTIONS INC.
Practice address
1528 NE Outrigger Landings Dr
Jensen Beach, FL 34957-6506
Phone
(772) 530-5000
Fax
(772) 249-4716
NPI assigned
Mar 27, 2014
Last updated
Mar 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Nicholas Elliott
Title
President
Phone
(772) 530-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1528 NE Outrigger Landings Dr
Jensen Beach, FL 34957-6506

Mailing address

1528 NE Outrigger Landings Dr
Jensen Beach, FL 34957-6506
Phone (772) 530-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1376960393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 NE OUTRIGGER LANDINGS DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349576506",
            "telephone_number": "772-530-5000",
            "fax_number": "772-249-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 NE OUTRIGGER LANDINGS DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349576506",
            "telephone_number": "772-530-5000",
            "fax_number": "772-249-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-530-5000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.