Digestive Disease Specialists P L

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME86268 Issued in FL

Legal business name

DIGESTIVE DISEASE SPECIALISTS P L

Doing business as

Florida Digestive Disease Specialists

Practice address

8340 Lakewood Ranch Blvd
Suite 101
Bradenton, FL 34202-5180

Phone

(941) 361-1100

NPI assigned

Jun 6, 2007

Last updated

Nov 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arun Punwani Khazanchi, M.D.

Title

President

Phone

(941) 388-6976

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Florida Digestive Disease Specialists Doing business as

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1700089828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8374 MARKET ST",
            "address_2": "#475",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025137",
            "telephone_number": "941-361-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "941-361-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE SPECIALISTS P L",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "KHAZANCHI",
        "authorized_official_first_name": "ARUN",
        "authorized_official_middle_name": "PUNWANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-388-6976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME86268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "E8467Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "AE633",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Digestive Disease Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salvatore Daniel Didomenico Jr., D.C.
• Janene Mary Diekmann, ANP-BC
• Dietitian Concierge PLLC
• Ronald Abner Dieudonne
• Digestive Disease Specialist of Manatee PL (Ddsom)
• Alexandra Diggett, APRN
• Denise Digregorio, FNP
• Joshua Joseph Digregorio, MD
• Alaina Christine Diguiseppe, RBT
• James Richard Dill, L.M.H.C.

• Gastroenterology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.