NPIMap

Organization Active NPI

Gastroenterology Associates of the Treasure Coast, P.a.

  • Specialist
  • Port Saint Lucie, FL
National Provider Identifier
1629250428
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
37070 Issued in FL
Legal business name
GASTROENTEROLOGY ASSOCIATES OF THE TREASURE COAST, P.A.
Practice address
1700 SE Hillmoor Dr
Suite 402
Port Saint Lucie, FL 34952-7539
Phone
(772) 335-7883
Fax
(772) 335-3143
NPI assigned
Dec 4, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Kenneth Ralph Kohen, M.D.NPI 1912940479
Title
Owner
Phone
(772) 335-7883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 37070 FL Primary

Addresses

Primary practice location

1700 SE Hillmoor Dr
Suite 402
Port Saint Lucie, FL 34952-7539

Mailing address

1700 SE Hillmoor Dr
Suite 402
Port Saint Lucie, FL 34952-7539
Phone (772) 335-7883

Other names 1

  • KENNETH R. KOHEN MD Other name

National Provider Directory

National Provider Directory

Locations

1700 SE Hillmoor Dr
Ste 402
Port St Lucie, FL 34952
Phone (772) 335-7883

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1629250428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "address_2": "SUITE 402",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527539",
            "telephone_number": "772-335-7883",
            "fax_number": "772-335-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "address_2": "SUITE 402",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527539",
            "telephone_number": "772-335-7883",
            "fax_number": "772-335-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF THE TREASURE COAST, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "KOHEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-335-7883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "37070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENNETH R. KOHEN MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.