Organization Active NPI

Gastro Health, LLC

  • Gastroenterology Physician
  • Pembroke Pines, FL
National Provider Identifier
1457026932
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
12251 Taft St Ste 401
Pembroke Pines, FL 33026-1956
Phone
(954) 433-5900
Fax
(866) 625-4102
NPI assigned
Aug 16, 2021
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

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: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

12251 Taft St Ste 401
Pembroke Pines, FL 33026-1956

Mailing address

12251 Taft St Ste 401
Pembroke Pines, FL 33026-1956
Phone (954) 433-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061127000011 FL Part B Supplier - Clinic/Group Practice 2365440567 Receives reassigned benefits from 350 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

9401 Fountain Medical Ct
#201
Bonita Springs, FL 34135
Phone (239) 593-9599

7270 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 738-5772

3001 Coral Hills Dr
Ste 250
Coral Springs, FL 33065
Phone (954) 721-5400

939 N University Dr
#23
Coral Springs, FL 33071
Phone (954) 755-3374

11011 Sheridan St
Ste 109
Hollywood, FL 33026
Phone (954) 431-7724

4700 Sheridan St
Ste F
Hollywood, FL 33021
Phone (954) 961-8400

15955 SW 96th St
Ste 205
Miami, FL 33196
Phone (305) 468-4191

15955 SW 96th St
Ste 307
Miami, FL 33196
Phone (305) 468-4191

7765 SW 87th Ave
Ste 105
Miami, FL 33173
Phone (305) 274-0808

885 SW 109th Ave
Miami, FL 33199
Phone (305) 348-3627

8950 N Kendall Dr
#306W
Miami, FL 33176
Phone (305) 596-9966

1431 NE 163rd St
North Miami Beach, FL 33162
Phone (305) 770-0062

10743 Narcoossee Rd
Ste 18B
Orlando, FL 32832

6735 Conroy Rd
Ste 214
Orlando, FL 32835
Phone (407) 395-7040

1000 W Broadway St
Ste 246
Oviedo, FL 32765
Phone (407) 260-6000

18503 Pines Blvd
Ste 331
Pembroke Pines, FL 33029
Phone (954) 499-2505

6141 Sunset Dr
Ste 301
South Miami, FL 33143
Phone (305) 279-0015

Practitioners & affiliated clinicians

Practitioners 331

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.

View all 331

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1457026932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 TAFT ST STE 401",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261956",
            "telephone_number": "954-433-5900",
            "fax_number": "866-625-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 TAFT ST STE 401",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261956",
            "telephone_number": "954-433-5900",
            "fax_number": "866-625-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.