Organization Active NPI

Treasure Coast Gi LLC

  • Gastroenterology Physician
  • Port St Lucie, FL
National Provider Identifier
1881115343
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME102117 Issued in FL
Legal business name
TREASURE COAST GI LLC
Practice address
1701 SE Hillmoor Dr Ste 4
Port St Lucie, FL 34952-7552
Phone
(772) 777-2575
Fax
(772) 777-2587
NPI assigned
Jul 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Scott E Altschuler, MDNPI 1346453610
Title
Manager
Phone
(772) 777-2575

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME102117 FL Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr Ste 4
Port St Lucie, FL 34952-7552

Mailing address

1701 SE Hillmoor Dr Ste 4
Port St Lucie, FL 34952-7552
Phone (772) 777-2575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170825003352 FL Part B Supplier - Clinic/Group Practice 4789956681 Receives reassigned benefits from 4 practitioners
Practice locations: Port St Lucie, FL

National Provider Directory

National Provider Directory

Locations

1701 SE Hillmoor Dr
#4
Port Saint Lucie, FL 34952

1701 SE Hillmoor Dr
Ste 4
Port St Lucie, FL 34952
Phone (772) 240-9485

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881115343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 4",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-777-2575",
            "fax_number": "772-777-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 4",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-777-2575",
            "fax_number": "772-777-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST GI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALTSCHULER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-777-2575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME102117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.