Organization Active NPI

Gastro Consultants, MD, PA

  • Gastroenterology Physician
  • Hollywood, FL
National Provider Identifier
1659355014
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTRO CONSULTANTS, MD, PA
Practice address
4700 Sheridan St
Suite F
Hollywood, FL 33021-3420
Phone
(954) 961-8400
Fax
(954) 961-8401
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Mr. Mitchell R. Raps
Title
Executive Director
Phone
(954) 961-8400

Specialties & licenses 1

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

Addresses

Primary practice location

4700 Sheridan St
Suite F
Hollywood, FL 33021-3420

Mailing address

4700 Sheridan St
Suite M
Hollywood, FL 33021-3420
Phone (954) 961-8400

Other identifiers 1

IdentifierTypeStateIssuer
041032200MedicaidFL

Other names 1

  • Gastroenterology Consultants, PA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1659355014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST",
            "address_2": "SUITE M",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213420",
            "telephone_number": "954-961-8400",
            "fax_number": "954-961-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST",
            "address_2": "SUITE F",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213420",
            "telephone_number": "954-961-8400",
            "fax_number": "954-961-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO CONSULTANTS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "RAPS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-961-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041032200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology Consultants, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.