Gastroenterology and Nutrition Specialist PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME79526 Issued in FL

Legal business name

GASTROENTEROLOGY AND NUTRITION SPECIALIST PA

Practice address

2880 S Osceola Ave
Orlando, FL 32806-5431

Phone

(407) 843-0443

Fax

(407) 843-0442

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Muhammad Asif Mohiuddin, M.D.NPI 1265411185

Title

President

Phone

(407) 843-0443

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad Asif Mohiuddin, M.D.

  • Gastroenterology Physician
  • Kissimmee, FL
  • NPI 1265411185
  Medicare reassignment NPD Authorized official
• Iris Nereida Bosse, APRN

  • Primary Care Nurse Practitioner
  • Kissimmee, FL
  • NPI 1073130688
  Medicare reassignment NPD
• Ashley Clark

  • Nurse Practitioner
  • Oviedo, FL
  • NPI 1588171904
  Medicare reassignment NPD
• Yariminette Delgado Olivo, APRN, LND

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1871875351
  Medicare reassignment NPD
• Heather Marie Korkowski, APRN

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1922626647
  Medicare reassignment NPD
• Analaura Vallejo, APRN

  • Family Nurse Practitioner
  • Kissimmee, FL
  • NPI 1083326235
  Medicare reassignment NPD
• Al J Febre, P.A.

  • Medical Physician Assistant
  • Orlando, FL
  • NPI 1275834418
  Medicare reassignment
• Lyanne Marie Caraballo, PA

  • Medical Physician Assistant
  • Pittsburgh, PA
  • NPI 1003394545

  FL

  Medicare reassignment

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1972658052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 S OSCEOLA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065431",
            "telephone_number": "407-843-0443",
            "fax_number": "407-843-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 S OSCEOLA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065431",
            "telephone_number": "407-843-0443",
            "fax_number": "407-843-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND NUTRITION SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ASIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-843-0443",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME79526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262273400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gastro Health, LLC
• Gastro Health, LLC
• Gastro Health, LLC
• Gastro Health, LLC
• Gastroenterology and Hepatology FL LLC
• Gastroenterology and Nutrition Specialists, PA
• Gastroenterology Associate of Central Florida
• Gastroenterology Consultants CFL PA
• Gastroenterology Consultants of Central Florida PA
• Gastroenterology Consultants of Central Florida PA

• Gastroenterology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.