GASTROENTEROLOGY OF CANTON INC NPI 1124179171

NPI Information

NPI: 1124179171
Provider Name: GASTROENTEROLOGY OF CANTON INC

Doing Business As: GOC INC

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
4124 MUNSON ST NW
SUITE A
CANTON, OH
ZIP 44718
Phone: (330) 492-6662
Get Directions

GASTROENTEROLOGY OF CANTON INC is a gastroenterology internal medicine in Canton, OH. The provider is 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. GASTROENTEROLOGY OF CANTON INC NPI is 1124179171. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Goc Inc.

The provider's business location address is:

4124 MUNSON ST NW
SUITE A
CANTON, OH
ZIP 44718-979
Phone: (330) 492-6662
Fax: (330) 492-6918

The provider's authorized official is Shari Townsend .
The authorized official title is Office Manager and has the following contact phone number (330) 492-6662.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	35046973	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0559819	MEDICAID	OHIO
2	=========00	OTHER	OHIO	WORKERS COMPENSATION
3	=========002	OTHER	OHIO	CHAMPUS
4	GA9265411	MEDICARE ID-TYPE UNSPECIFIED	OHIO
5	000000137194	OTHER	OHIO	ANTHEM
6	=========027	OTHER	OHIO	CARESOURCE
7	100000769	OTHER	OHIO	RAILROAD MEDICARE
8	735536	OTHER	OHIO	BUCKEYE COMMUNITY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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