NPIMap

Organization Active NPI

Pezzone Gastroenterology Associates PC

  • Gastroenterology Physician
  • The Villages, FL
National Provider Identifier
1699059808
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD060508L Issued in PA
Legal business name
PEZZONE GASTROENTEROLOGY ASSOCIATES PC
Practice address
1400 N US Highway 441 Ste 810
The Villages, FL 32159-8987
Phone
(352) 674-8700
Fax
(352) 674-8714
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dr. Michael Angelo Pezzone, M.D.
Title
President
Phone
(352) 674-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MD060508L PA Primary

Addresses

Primary practice location

1400 N US Highway 441 Ste 810
The Villages, FL 32159-8987

Mailing address

1400 N US Highway 441 Ste 810
The Villages, FL 32159-8987
Phone (352) 674-8700

Other identifiers 1

IdentifierTypeStateIssuer
001812538MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1699059808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 810",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598987",
            "telephone_number": "352-674-8700",
            "fax_number": "352-674-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 810",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598987",
            "telephone_number": "352-674-8700",
            "fax_number": "352-674-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEZZONE GASTROENTEROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "PEZZONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-674-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD060508L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001812538",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.