| Associates In Digestive Health Llc | |
|
625 Del Prado Blvd S Cape Coral FL 33990-2667 | |
| (239) 772-3636 | |
| (239) 772-5073 |
| Full Name | Associates In Digestive Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 625 Del Prado Blvd S, Cape Coral, Florida |
| Authorized Official Name and Position | Kris Breyley (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2397723636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Digestive Health Llc 625 Del Prado Blvd S Cape Coral FL 33990-2667 Ph: (239) 772-3636 | Associates In Digestive Health Llc 625 Del Prado Blvd S Cape Coral FL 33990-2667 Ph: (239) 772-3636 |
| NPI Number | 1790868099 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5597746495 |
|---|---|
| Medicare Enrollment ID | O20040526001437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790868099 | NPI | - | NPPES |
| 7519547 | Other | FL | AETNA |
| 269648700 | Medicaid | FL | |
| 45406 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Florida) | Primary |
| Provider Name | William R Keith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922001130 PECOS PAC ID: 4183605090 Enrollment ID: I20040527001106 |
| Provider Name | Harold Scott Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578560751 PECOS PAC ID: 3971584889 Enrollment ID: I20040527001136 |
| Provider Name | Bradley W Trope |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790788909 PECOS PAC ID: 8729024336 Enrollment ID: I20050706000173 |
| Provider Name | Brian P Rajca |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083876197 PECOS PAC ID: 2769616291 Enrollment ID: I20160419000005 |
| Provider Name | Seth Walter Lipka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831404052 PECOS PAC ID: 4082983606 Enrollment ID: I20170712003560 |
| Provider Name | Christopher A Fernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306109939 PECOS PAC ID: 9032422795 Enrollment ID: I20190722000956 |
| Provider Name | Paul Weissblatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619274172 PECOS PAC ID: 2769758929 Enrollment ID: I20210401001345 |
| Provider Name | Brian Andrew Frank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609238211 PECOS PAC ID: 4587044367 Enrollment ID: I20220711002454 |
| Provider Name | Bhavin Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154709814 PECOS PAC ID: 2668853193 Enrollment ID: I20220714004044 |
| Provider Name | Weijian Zhu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134138530 PECOS PAC ID: 5799828414 Enrollment ID: I20220802000779 |
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