PROFESSIONAL GASTROENTEROLOGY & NUTRITION ASSOCIATES, P.A. (NPI# 1215974498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215974498 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL GASTROENTEROLOGY & NUTRITION ASSOCIATES, P.A. |
| Other Organization Name | ADVANCED GASTROENTEROLOGY & SURGERY ASSOCIATES |
| Practice Address |
8110 County Road 44 Leg A Leesburg FL 34788-3704 |
| Practice Telephone | 3523238868 |
| Practice Fax Number | 3523238865 |
| Mailing Telephone | 3523238868 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | LILY C TRAN (PHYSICIAN) |
| Authorized Official Telephone | 3523238868 |
| 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 |
========= | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ADVANCED GASTROENTEROLOGY & SURGERY ASSOCIATES | Doing Business As Name - Organization |
| Street Address |
8110 COUNTY ROAD 44 LEG A |
| City | LEESBURG |
| State | FL |
| Zip Code | 34788-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760453286 | Garth O George | Internal Medicine | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-02-01 |
| 1134255748 | Brenda K. Moody | Nurse Anesthetist, Certified Registered | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2007-02-26 |
| 1326112244 | Rolando M Malibiran | Specialist | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-11-20 |
| 1467480145 | Maohao Han | Surgery | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-06-29 |
| 1235165531 | Lake Surgery & Endoscopy Center Ltd | Clinic/Center | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-06-25 |
| 1366494874 | Lily Tran | Internal Medicine | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-05-16 |
| 1265483564 | Akram Ismail | Internal Medicine | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
| 1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
| 1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
| 1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
| 1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
| 1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
| 1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
| 1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
| Find all providers in zip 34788 | ||||
| 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 |
|---|---|---|---|---|
| 1811544240 | Zhenxia Na Shuai | Internal Medicine | 44055 Riverside Pkwy Ste 220, Leesburg, VA 20176-5177 | 2019-08-21 |
| 1649673872 | Tri County Professional Management, Inc | Internal Medicine | 8100 County Rd 44, Leesburg, FL 34788-3704 | 2014-10-02 |
| 1760453286 | Garth O George | Internal Medicine | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-02-01 |
| 1366980633 | Waseem I Aziz Md PC | Internal Medicine | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2017-02-07 |
| 1952851107 | Loudoun Medical Group . P.c | Internal Medicine | 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 | 2016-10-12 |
| 1609248772 | Gastroenterology and Nutrition of Central Florida | Internal Medicine | 822 Perkins St, Leesburg, FL 34748-4350 | 2015-10-28 |
| 1649603960 | Gi Experts,llc | Internal Medicine | 822 Perkins St, Leesburg, FL 34748-4350 | 2013-08-11 |
| 1679811459 | Muni V. Padman, M.d., P.a. | Internal Medicine | 601 E Dixie Ave, Plaza 101, Leesburg, FL 34748-5953 | 2013-01-29 |
| 1164778932 | Loudoun Medical Group PC | Internal Medicine | 44055 Riverside Pkwy, Suite 226, Leesburg, VA 20176-5179 | 2012-07-31 |
| 1598904153 | Rajesambhaji Shivajirao Borade | Internal Medicine | 822 Perkins St, Leesburg, FL 34748 | 2009-02-05 |
| Find all providers in LEESBURG | ||||
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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.