Palm Endoscopy Center Inc

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

1152 Issued in FL

Legal business name

PALM ENDOSCOPY CENTER INC

Practice address

623 Maitland Ave
Ste 1100
Altamonte Springs, FL 32701

Phone

(407) 830-8661

Fax

(407) 830-0280

NPI assigned

Dec 23, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barry Richard Katz, MDNPI 1427035120

Title

Medical Director

Phone

(407) 830-8661

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Barry Richard Katz, MD

  • Gastroenterology Physician
  • Altamonte Springs, FL
  • NPI 1427035120
  NPD (past) Authorized official

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982681672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MAITLAND AVE",
            "address_2": "STE 1100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-830-8661",
            "fax_number": "407-830-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAITLAND AVE",
            "address_2": "STE 1100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-830-8661",
            "fax_number": "407-830-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-830-8661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "FL",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endoscopy Clinic/Center in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Endoscopy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.