SANTA ROSA GASTROENTEROLOGY – NPI #1790956472
Internal Medicine

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.

SANTA ROSA GASTROENTEROLOGY is a provider located in MILTON, FL. NPPES has assigned the NPI number 1790956472 to SANTA ROSA GASTROENTEROLOGY on March 20, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 15 years ago on Dec 20, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANTA ROSA GASTROENTEROLOGY below.

NPI Profile for
SANTA ROSA GASTROENTEROLOGY

NPI Number
1790956472
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SANTA ROSA GASTROENTEROLOGY
Primary location
5992 BERRYHILL RD
SUITE 201
MILTON, FL 32570-1013
Phone: (850) 626-9626 Fax: (850) 626-9606
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KERI RUSYNYK
OFFICE MANAGER
Phone: (850) 748-4420
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.