PEZZONE GASTROENTEROLOGY ASSOCIATES PC (NPI# 1699059808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699059808 |
| Entity Type | Organization |
| Organization Name | PEZZONE GASTROENTEROLOGY ASSOCIATES PC |
| Practice Address |
1400 N Us Highway 441 Ste 810 The Villages FL 32159-8987 |
| Practice Telephone | 3526748700 |
| Practice Fax Number | 3526748714 |
| Mailing Telephone | 3526748700 |
| Mailing Fax Number | 3526748714 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | DR. MICHAEL ANGELO PEZZONE (PRESIDENT) |
| Authorized Official Telephone | 3526748700 |
| 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 |
MD060508L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001812538 | 05 |
| Street Address |
1400 N US HIGHWAY 441 STE 810 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32159-8987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133505 | John A Purcell | Specialist | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159 | 2005-06-02 |
| 1346891942 | Brian Paul Wisowaty | Physician Assistant | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2019-09-25 |
| 1821558321 | Jofy Gerard | Nurse Practitioner | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2019-03-21 |
| 1881076040 | Pranav Ravi | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2015-06-24 |
| 1700275088 | Mary Lombardi | Physician Assistant | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2015-01-09 |
| 1639468556 | Katherine Delphine Tripi | Physician Assistant | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159 | 2011-03-31 |
| 1124289731 | Allison Greenstein Yow | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2008-06-17 |
| 1184784845 | Deon Keiva-marie Sutherland | Family Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-12-11 |
| 1780762062 | Catherine Taylor | Nurse Practitioner | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-11-02 |
| 1437250065 | Roland More | Psychiatry & Neurology | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| 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 |
|---|---|---|---|---|
| 1376571117 | Richard A. Truesdale | Internal Medicine | 1400 N Us Highway 441 Ste 531, The Villages, FL 32159-8985 | 2006-06-29 |
| 1861818510 | Madhavi Reddy Ravi | Internal Medicine | 1400 N Us Highway 441 Ste 531, The Villages, FL 32159-8985 | 2014-03-05 |
| 1609089853 | Mariana De Jongh-beyer | Internal Medicine | 1400 N Us Highway 441 Ste 531, The Villages, FL 32159-8985 | 2007-05-07 |
| 1427145242 | Alec G Chan-pong | Internal Medicine | 8900 Se 165th Mulberry Ln, The Villages, FL 32162-5884 | 2006-10-05 |
| 1083723225 | Alan Sonsky | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-08-30 |
| 1023014735 | Raymond J Mis | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2005-06-27 |
| 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 | ||||
| City | THE VILLAGES |
| Zip Code | 32159 |
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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.