Organization Active NPI

The Gastroenterology Group

  • Specialist
  • Altamonte Springs, FL
National Provider Identifier
1730213414
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE GASTROENTEROLOGY GROUP
Practice address
205 Loraine Drive
Altamonte Springs, FL 32714
Phone
(407) 261-0000
Fax
(407) 261-1000
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Dr. Douglas Jay Sprung, M.D.NPI 1821196064
Title
President
Phone
(407) 261-0000

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 Primary

Addresses

Primary practice location

205 Loraine Drive
Altamonte Springs, FL 32714

Mailing address

205 Loraine Drive
Altamonte Springs, FL 32714
Phone (407) 261-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090326000424 FL Part B Supplier - Clinic/Group Practice 1951468578 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

205 Loraine Dr
Altamonte Springs, FL 32714
Phone (407) 261-0000

100 E Sybelia Ave
Ste 327
Maitland, FL 32751
Phone (407) 644-2525

740 Concourse Pkwy S
Maitland, FL 32751

100 E Sybelia Ave
Maitland, FL 32751
Phone (321) 355-4815

Practitioners & affiliated clinicians

Practitioners 2

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1730213414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LORAINE DRIVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-261-0000",
            "fax_number": "407-261-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LORAINE DRIVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-261-0000",
            "fax_number": "407-261-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GASTROENTEROLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "SPRUNG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-261-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.