ADVANCED CARE GASTROENTEROLOGY ASSOCIATES (NPI# 1831565688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831565688 |
| Entity Type | Organization |
| Organization Name | ADVANCED CARE GASTROENTEROLOGY ASSOCIATES |
| Practice Address |
17720 Daisy Farm Dr Lutz FL 33559-3940 |
| Practice Telephone | 8475250020 |
| Mailing Telephone | 8475250020 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | SOBIA ALI (DOCTOR) |
| Authorized Official Telephone | 8475250020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME106694 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | INDIVIDUAL NPI | 1417166422 | 01 |
| Street Address |
17720 DAISY FARM DR |
| City | LUTZ |
| State | FL |
| Zip Code | 33559-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286930 | Mark Cutler Behm | Dentist | 25464 Grand Cypress Dr, Lutz, FL 33559 | 2019-07-12 |
| 1659837656 | B&b Florida Eye Care Pllc | Optometrist | 25434 Sierra Center Boulevard, Lutz, FL 33559 | 2019-02-14 |
| 1457821076 | Roxanne Juliet Beaton | Counselor | 23540 State Rd. 54, Lutz, FL 33559 | 2018-11-26 |
| 1073097275 | Ivelisse Lopez Garcia | Social Worker | 4840 Tampa Downs Blvd Lutz, Tampa, FL 33559 | 2018-09-24 |
| 1134601735 | Brandon Baker | Specialist/Technologist | 15111 Buckhorn Court, Lutz, FL 33559 | 2018-08-30 |
| 1003314162 | Alpha and Omega Resource Center | Day Training, Developmentally Disabled Services | 15115 19th Street, Lutz, FL 33559 | 2018-01-24 |
| 1609391432 | Kristi Faye Steuber | Behavior Technician | 24021 Timberset Court, Lutz, FL 33559 | 2017-08-14 |
| 1245786185 | Costco Wholesale Corporation | Hearing Aid Equipment | 2225 Grand Cypress Drive, Lutz, FL 33559 | 2016-08-31 |
| 1245620632 | Tamara Ibrahim | Pharmacist | 14905 Deer Meadow Drive, Lutz, FL 33559 | 2015-01-23 |
| 1932520004 | Nueva Vida Alf II Inc | Respite Care | 2827 Max Smith Rd, Lutz, FL 33559 | 2013-12-17 |
| Find all providers in zip 33559 | ||||
| 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 |
|---|---|---|---|---|
| 1770746190 | Roland L Chin-lue | Internal Medicine | 4211 Van Dyke Rd, #200, Lutz, FL 33558-8005 | 2008-07-07 |
| 1811182199 | Michael Bradley Small | Internal Medicine | 4211 Van Dyke Rd, #200, Lutz, FL 33558-8005 | 2007-09-11 |
| 1356321806 | Christian Said Najeep Bailey | Internal Medicine | 4211 Van Dyke Rd, #200, Lutz, FL 33558-8005 | 2006-01-19 |
| 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.