Organization Active NPI

Pediatric Gastroenterology of Central Florida PA

  • Pediatric Gastroenterology Physician
  • Orlando, FL
National Provider Identifier
1912932138
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME67768 Issued in FL
Legal business name
PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA
Practice address
615 E Princeton St
Suite 510
Orlando, FL 32803-1456
Phone
(407) 898-1210
Fax
(407) 898-2920
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Sangeeta Bhargava, MD
Title
Owner
Phone
(407) 898-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0206X ME67768 FL Primary

Addresses

Primary practice location

615 E Princeton St
Suite 510
Orlando, FL 32803-1456

Mailing address

PO Box 691594
Orlando, FL 32869
Phone (407) 898-1210

Other identifiers 1

IdentifierTypeStateIssuer
278363100MedicaidFL

National Provider Directory

National Provider Directory

Locations

615 E Princeton St
Ste 530
Orlando, FL 32803
Phone (407) 898-1210

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1912932138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691594",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32869",
            "telephone_number": "407-898-1210",
            "fax_number": "407-898-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST",
            "address_2": "SUITE 510",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031456",
            "telephone_number": "407-898-1210",
            "fax_number": "407-898-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "BHARGAVA",
        "authorized_official_first_name": "SANGEETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-898-1210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME67768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278363100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.