Robert C Guagenti, DO

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

OS6728 Issued in FL

Practice address

10000 Bay Pines Blvd
BLDG 100- 4C-Gastroenterology
Bay Pines, FL 33744-8200

Phone

(727) 398-6661

Fax

(727) 398-9579

NPI assigned

Aug 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthcare America Medical Group, Inc.

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1487665642
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1427040310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 LONGVIEW LAKE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114972",
            "telephone_number": "941-907-2696",
            "fax_number": "941-907-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "address_2": "BLDG 100- 4C-GASTROENTEROLOGY",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "337448200",
            "telephone_number": "727-398-6661",
            "fax_number": "727-398-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAGENTI",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS6728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260329200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan E Grey, PHARM D
• McCrorey Grier, MSW
• Gina Griffin, LCSW
• Christine E Grogan, PHARM.D.
• Paul J Gruosso, OD
• Karina Guerra-Guzman, MS
• Brooke Guthrie, D.O
• Katelyn Jill Gwaltney, MPH, RD
• Brianna Hachey
• Thea A Haefner-Pantzis, MSW

• Gastroenterology Physician in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.