SANTA ROSA GASTROENTEROLOGY (NPI# 1790956472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790956472 |
| Entity Type | Organization |
| Organization Name | SANTA ROSA GASTROENTEROLOGY |
| Practice Address |
5992 Berryhill Rd Suite 201 Milton FL 32570-1013 |
| Practice Telephone | 8506269626 |
| Practice Fax Number | 8506269606 |
| Mailing Telephone | 8506269626 |
| Mailing Fax Number | 8506269606 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | KERI A RUSYNYK (OFFICE MANAGER) |
| Authorized Official Telephone | 8507484420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
5992 BERRYHILL RD SUITE 201 |
| City | MILTON |
| State | FL |
| Zip Code | 32570-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992780936 | Santa Rosa Surgical Associates, Pa | Surgery | 5992 Berryhill Rd, Suite 104, Milton, FL 32570-1013 | 2005-12-13 |
| 1477090470 | Caitlin Chantae Mosley | Physician Assistant | 5992 Berryhill Rd, Suite 302, Milton, FL 32570-1013 | 2017-01-27 |
| 1134550056 | Van Brandon Foles | Surgery | 5992 Berryhill Rd, Suite 203, Milton, FL 32570-1013 | 2013-12-03 |
| 1477828614 | Tiana Natal Nygaard | Physician Assistant | 5992 Berryhill Rd, 300, Milton, FL 32570-1013 | 2012-03-21 |
| 1396022646 | Brittany A.g. Smith | Physician Assistant | 5992 Berryhill Rd, Ste 302, Milton, FL 32570-1013 | 2011-11-14 |
| 1891093100 | Santa Rosa Hma Physician Management LLC | Family Medicine | 5992 Berryhill Rd, Suite 205, Milton, FL 32570-1013 | 2011-03-10 |
| 1275844870 | Ricardo Kevin Mohammed | Surgery | 5992 Berryhill Rd, Suite 203, Milton, FL 32570-1013 | 2010-06-29 |
| 1154559409 | Mark J Elder Do Pa | Family Medicine | 5992 Berryhill Rd, Milton, FL 32570-1013 | 2009-06-25 |
| 1871744730 | Shane Catherine Ward | Nurse Practitioner | 5992 Berryhill Rd, Suite 201, Milton, FL 32570-1013 | 2008-10-08 |
| 1154522175 | Mohamed Badr Sultan | Psychiatry & Neurology | 5992 Berryhill Rd, Suite 104, Milton, FL 32570-1013 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| 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 |
|---|---|---|---|---|
| 1659549590 | George L Barrett | Internal Medicine | 100 Highland St, Suite 101, Milton, MA 02186-3881 | 2008-02-13 |
| 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 |
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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.