Organization Active NPI

Children'S Gastroenterology of Central Florida

  • Clinic/Center
  • Altamonte Springs, FL
National Provider Identifier
1891260873
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHILDREN'S GASTROENTEROLOGY OF CENTRAL FLORIDA
Practice address
608 Maitland Ave
Altamonte Springs, FL 32701-6834
Phone
(321) 274-7519
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Osman Z Ahmad, MDNPI 1467719492
Title
Ceo
Phone
(321) 274-7519

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

608 Maitland Ave
Altamonte Springs, FL 32701-6834

Mailing address

608 Maitland Ave
Altamonte Springs, FL 32701-6834

Other identifiers 1

IdentifierTypeStateIssuer
1467719492MedicaidFL

National Provider Directory

National Provider Directory

Locations

608 Maitland Ave
Altamonte Springs, FL 32701
Phone (321) 274-7519

Practitioners & 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": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1891260873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016834",
            "telephone_number": "321-274-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S GASTROENTEROLOGY OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-274-7519",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467719492",
            "state": "FL"
        }
    ],
    "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 Oct 5, 2018; 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.