Active NPI
Gastro Consultants, MD, PA
- Gastroenterology Physician
- Hollywood, FL
National Provider Identifier
1659355014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041032200 | Medicaid | FL |
Other names 1
- Gastroenterology Consultants, PA
National Provider Directory
National Provider DirectoryPractitioners & 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.