Organization Active NPI

Treasure Coast Health Services, Inc.

  • Gastroenterology Physician
  • Stuart, FL
National Provider Identifier
1942498548
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS6350 Issued in FL
Legal business name
TREASURE COAST HEALTH SERVICES, INC.
Practice address
622 SE Central Pkwy
Stuart, FL 34994-3970
Phone
(772) 288-1220
Fax
(772) 288-5151
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. David A Elliott, D.O.NPI 1811986581
Title
Owner
Phone
(772) 288-1220

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 OS6350 FL Primary

Addresses

Primary practice location

622 SE Central Pkwy
Stuart, FL 34994-3970

Mailing address

622 SE Central Pkwy
Stuart, FL 34994-3970
Phone (772) 288-1220

Other identifiers 2

IdentifierTypeStateIssuer
373111100MedicaidFL
1811986581OtherFLDR. DAVID ELLIOTT'S NPI #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050221000598 FL Part B Supplier - Clinic/Group Practice 9032162821 Receives reassigned benefits from 2 practitioners
Practice locations: Stuart, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2277123Treasure Coast Health Services Inc622 SE Central Parkway, Stuart, FL 34994ComplianceApr 21, 2028

National Provider Directory

National Provider Directory

Locations

622 SE Central Pkwy
Stuart, FL 34994
Phone (772) 288-1220

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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1942498548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943970",
            "telephone_number": "772-288-1220",
            "fax_number": "772-288-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943970",
            "telephone_number": "772-288-1220",
            "fax_number": "772-288-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-288-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS6350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373111100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DAVID ELLIOTT'S NPI #",
            "identifier": "1811986581",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.