Organization Active NPI

Gastroenterology Associates of Osceola, P.a.

  • Gastroenterology Physician
  • Kissimmee, FL
National Provider Identifier
1548466949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY ASSOCIATES OF OSCEOLA, P.A.
Practice address
710 Oak Commons Blvd
Kissimmee, FL 34741-4100
Phone
(407) 846-6747
Fax
(407) 569-1201
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohammed Sirajul Islam, M.D.
Title
President
Phone
(407) 846-6747

Specialties & licenses 1

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

Addresses

Primary practice location

710 Oak Commons Blvd
Kissimmee, FL 34741-4100

Mailing address

PO Box 423009
Kissimmee, FL 34742-3009
Phone (407) 847-6747

National Provider Directory

National Provider Directory

Locations

715 Oak Commons Blvd
Ste A
Kissimmee, FL 34741

801 W Oak St
Ste 103
Kissimmee, FL 34741

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548466949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423009",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347423009",
            "telephone_number": "407-847-6747",
            "fax_number": "407-569-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414100",
            "telephone_number": "407-846-6747",
            "fax_number": "407-569-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF OSCEOLA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "SIRAJUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-846-6747",
        "authorized_official_name_prefix": "Dr.",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.