ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS (NPI# 1790790277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790790277 |
| Entity Type | Organization |
| Organization Name | ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS |
| Practice Address |
1690 Dunlawton Ave Suite 210 Port Orange FL 32127-8980 |
| Practice Telephone | 3867634920 |
| Practice Fax Number | 3867634939 |
| Mailing Telephone | 3867634920 |
| Mailing Fax Number | 3867634939 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | DR. SAUD ELSAYED SULEIMAN (PHYSICIAN PARTNERS) |
| Authorized Official Telephone | 3867634920 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 45571 | 01 |
| FL | 267121200 | 05 |
| Street Address |
1690 DUNLAWTON AVE SUITE 210 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-8980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487684171 | Hassan Zulfiqar | Internal Medicine | 1690 Dunlawton Ave, Suite # 210, Port Orange, FL 32127-8980 | 2006-07-05 |
| 1699207142 | Kelsey Bonnette | Nurse Practitioner | 1690 Dunlawton Ave, Port Orange, FL 32127-8979 | 2017-04-03 |
| 1568911667 | Bessie Kueffler | Nurse Practitioner | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8979 | 2016-09-29 |
| 1811354525 | Lauren Silver | Counselor | 1690 Dunlawton Ave, 125, Port Orange, FL 32127-8979 | 2016-01-26 |
| 1942691373 | Laurette Cornel | Nurse Practitioner | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8979 | 2015-02-06 |
| 1760872527 | Advanced Gastroenterology | General Acute Care Hospital | 1690 Dunlawton Ave, Port Orange, FL 32127-8979 | 2015-02-02 |
| 1861890790 | Amer Khatib | Specialist | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8979 | 2014-12-09 |
| 1225432867 | Progressive Medical Lab, LLC | Clinical Medical Laboratory | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8979 | 2014-10-10 |
| 1669710273 | Spruce Creek Mental Health Services, LLC | Social Worker | 1690 Dunlawton Ave, Suite 125, Port Orange, FL 32127-8979 | 2013-01-17 |
| 1659623213 | Edward Cecil King | Social Worker | 1690 Dunlawton Ave, Suite 125, Port Orange, FL 32127-8979 | 2012-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| 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 |
|---|---|---|---|---|
| 1003150715 | Vrushak Deshpande | Internal Medicine | 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129-2349 | 2012-11-19 |
| 1487684171 | Hassan Zulfiqar | Internal Medicine | 1690 Dunlawton Ave, Suite # 210, Port Orange, FL 32127-8980 | 2006-07-05 |
| 1699775619 | Louis Michael Agnone | Internal Medicine | 3635 S. Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 | 2005-08-01 |
| 1033116975 | Gregory J. Stella | Internal Medicine | 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129-2300 | 2005-07-07 |
| 1093283905 | Ousama Alkhatib | Internal Medicine | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2018-11-08 |
| 1427498724 | Town Center Medical Services, LLC | Internal Medicine | 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127-8980 | 2013-07-01 |
| 1669779906 | Imacs, LLC | Internal Medicine | 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127-8980 | 2011-02-23 |
| 1104056860 | Juan Pablo Blum Guzman | Internal Medicine | 3635 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2300 | 2009-07-15 |
| 1336262146 | Ketul Raman Patel | Internal Medicine | 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129-2300 | 2007-04-08 |
| 1396850152 | Sunil P Pasricha | Internal Medicine | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2300 | 2006-08-20 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
Please comment or provide details below to improve the information on ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS.
| 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.