Advanced Gastroenterology Associates

LBN: B Jeffrey Wallis Md Pa
Advanced Gastroenterology Associates is an health care organization with primary practice located at 6152 W Corporate Oaks Dr , Crystal River FL 34429-8722. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. B Jeffrey Wallis Md Pa can be contacted via phone (352) 564-3900, or through Wallis, Barrett Jeffrey via phone (352) 400-8000.

Contact Information

Primary practice address
6152 W Corporate Oaks Dr Crystal River FL 34429-8722
Phone: (352) 564-3900
Fax: (352) 564-3903
Website:
Map and Directions
Authorized official contact:
Name: Wallis, Barrett Jeffrey Doctor of Medicine (MD)
Phone: (352) 400-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1003199076
LBN Legal business name B Jeffrey Wallis Md Pa
DBA Doing business as Advanced Gastroenterology Associates
Authorized official Wallis, Barrett Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2011
Last updated Aug 7th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003199076 NPPES
Florida MEDICAID 001690000

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