SOUTH FLORIDA CENTER OF GASTROENTEROLOGY (NPI# 1992771422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992771422 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA CENTER OF GASTROENTEROLOGY |
| Practice Address |
10115 Forest Hill Blvd Suite 100 Wellington FL 33414 |
| Practice Telephone | 5617982425 |
| Practice Fax Number | 5617986356 |
| Mailing Telephone | 5617982425 |
| Mailing Fax Number | 5617986356 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | DR. MATTHEW J SMITH (PRESIDENT) |
| Authorized Official Telephone | 5617982425 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
05-5402 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DAVIS DEA | BD0116120 | 01 |
| FL | 057313200 | 05 | |
| FL | SMITH DEA | AS2909793 | 01 |
| FL | SACKS DEA | BS3749489 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689742157 | South Florida Center of Gastroenterology | Internal Medicine | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2006-12-01 |
| Street Address |
10115 FOREST HILL BLVD SUITE 100 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545665 | Jerry Herbert Singer | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2005-06-01 |
| 1487194981 | Travel Medicine & Infectious Diseases of The Palm Beaches LLC | Internal Medicine | 10115 Forest Hill Blvd, Suite 102, Wellington, FL 33414-3105 | 2017-03-02 |
| 1417407446 | Erika Ruiz | Nurse Practitioner | 10115 Forest Hill Blvd, Ste 101, Wellington, FL 33414-3105 | 2016-10-13 |
| 1871964916 | 21st Century Oncology LLC | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2015-10-15 |
| 1750751996 | Teresa R Budny | Audiologist | 10115 Forest Hill Blvd, Suite 103, Wellington, FL 33414-3105 | 2015-09-30 |
| 1740692615 | Amy Herrod | Nurse Practitioner | 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414-3105 | 2014-05-27 |
| 1245653971 | Abbi Pawelkoski | Dietitian, Registered | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3105 | 2014-01-31 |
| 1508112202 | Faris J. Fakhoury, Md, Pa | Neurological Surgery | 10115 Forest Hill Blvd, Suite 405, Wellington, FL 33414-3105 | 2012-07-31 |
| 1568722528 | Jessica Ann Clark | Obstetrics & Gynecology | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3105 | 2012-05-24 |
| 1538462304 | Lake Worth Pain Center, Pa | Specialist | 10115 Forest Hill Blvd, Suite 102, Wellington, FL 33414-6178 | 2010-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| 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 |
|---|---|---|---|---|
| 1518933183 | Thomas J. Flannery | Internal Medicine | 10111 Forest Hill Blvd, Suite 255, Wellington, FL 33414-6108 | 2006-02-24 |
| 1114303880 | Rt Surgery Center, LLC | Internal Medicine | 1157 S State Road 7, Wellington, FL 33414-6101 | 2015-08-05 |
| 1568848240 | Wellington Anesthesia, LLC | Internal Medicine | 1157 S State Road 7, Wellington, FL 33414-6101 | 2015-08-05 |
| 1912383738 | Gastroenterology Associates of Wellington, LLC | Internal Medicine | 1157 S State Road 7, Wellington, FL 33414-6101 | 2015-08-04 |
| 1184770224 | Palm Beach Gastroenterology Consultant Inc | Internal Medicine | 1157 S State Road 7, Wellington, FL 33414-6101 | 2007-01-25 |
| 1689742157 | South Florida Center of Gastroenterology | Internal Medicine | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2006-12-01 |
| 1003909888 | Gastrocare, LLP | Internal Medicine | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2006-10-02 |
| 1952320897 | Matthew J. Smith | Internal Medicine | 1447 Medical Park Blvd, Suite 205, Wellington, FL 33414-3164 | 2006-07-19 |
| 1770502601 | Mitchell N. Davis | Internal Medicine | 1447 Medical Park Blvd, Suite 205, Wellington, FL 33414-3164 | 2006-07-19 |
| 1326067935 | Steven R Sacks | Internal Medicine | 1447 Medical Park Blvd, Suite 205, Wellington, FL 33414-3164 | 2006-07-18 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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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.