CITRUS GASTROENTEROLOGY PA (NPI# 1407853195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407853195 |
| Entity Type | Organization |
| Organization Name | CITRUS GASTROENTEROLOGY PA |
| Practice Address |
3653 E Forest Dr Inverness FL 34453-0787 |
| Practice Telephone | 3523448080 |
| Practice Fax Number | 3523440631 |
| Mailing Telephone | 3523448080 |
| Mailing Fax Number | 3523440631 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2011-06-21 |
| Authorized Official Name | JOHANNES MARTENSSON (PRESIDENT) |
| Authorized Official Telephone | 3523448080 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
80110022812 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEPT OF LABOR | 160659200 | 01 |
| FL | BCBS OF FLORIDA | 21861 | 01 |
| FL | UMWA | 84959 | 01 |
| PA | BS OF PENNSYLVANIA | 173547 | 01 |
| FL | HEALTHEASE | 213279 | 01 |
| FL | 263450300 | 05 | |
| FL | UNITED HEALTH CARE | 2900981 | 01 |
| TN | BCBS OF TENNESSEE | 4002702 | 01 |
| GA | RAILROAD MEDICARE PIN | CN7015 | 01 |
| NY | GHI | 2400710 | 01 |
| Street Address |
3653 E FOREST DR |
| City | INVERNESS |
| State | FL |
| Zip Code | 34453-0787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043506611 | Citrus Gastroenterology Mgt Plc | Internal Medicine | 3653 E Forest Dr, Inverness, FL 34453-0787 | 2011-06-22 |
| 1417954298 | Johannes Karl Martensson | Internal Medicine | 3653 E Forest Dr, Inverness, FL 34453-0787 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1164803896 | Jennifer Tai | Optometrist | 2637 E Gulf To Lake Hwy # B1, Inverness, FL 34453 | 2015-06-18 |
| 1427466424 | Brenna Morgan Arthur | Massage Therapist | 2200 W. Highway 44, Inglis, FL 34453 | 2014-07-23 |
| 1083022057 | Rebecca Faye Campbell | Massage Therapist | 2200 West Highway 44, Inverness, FL 34453 | 2014-07-23 |
| 1033544481 | Hearing for Tomorow Inc. | Durable Medical Equipment & Medical Supplies | 2036 Highway 44 West, Inveness, FL 34453 | 2013-09-04 |
| 1932351384 | Peter C. Abrams | Speech-Language Pathologist | 3589 E. Gulf To Lake Hwy, Active Life Rehab., Inc., Inverness, FL 34453 | 2008-10-16 |
| 1326215583 | Lydia Linan-gervacio | Psychiatry & Neurology | 384 N Hambletonian Dr, Inverness, FL 34453 | 2008-05-15 |
| 1154598068 | Susmitha Apuri | Internal Medicine | 2231 Highway 44 W Ste 203, Inverness, FL 34453 | 2008-05-09 |
| 1861691636 | Navin Singh | Optometrist | 3351 E. Gulf-to-lake Highway, Inverness, FL 34453 | 2007-07-12 |
| 1265634224 | Paul Christopher Day | Optometrist | 2637 Gulf -to-lake Highway, Vision Specialty Associates, Inverness, FL 34453 | 2007-06-01 |
| Find all providers in zip 34453 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043506611 | Citrus Gastroenterology Mgt Plc | Internal Medicine | 3653 E Forest Dr, Inverness, FL 34453-0787 | 2011-06-22 |
| 1972820298 | Suncoast Gastroenterology Pa | Internal Medicine | 214 S Pine Ave, Inverness, FL 34452-4838 | 2010-04-26 |
| 1417954298 | Johannes Karl Martensson | Internal Medicine | 3653 E Forest Dr, Inverness, FL 34453-0787 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.