NORTH SHORE GASTROENTEROLOGY INC NPI 1639560675

NPI Information

NPI: 1639560675
Provider Name: NORTH SHORE GASTROENTEROLOGY, INC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
850 COLUMBIA RD
SUITE 200
WESTLAKE, OH
ZIP 44145
Phone: (440) 808-1212
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NORTH SHORE GASTROENTEROLOGY, INC is an adult health nurse practitioner in Westlake, OH. NORTH SHORE GASTROENTEROLOGY, INC NPI is 1639560675. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

850 COLUMBIA RD
SUITE 200
WESTLAKE, OH
ZIP 44145-493
Phone: (440) 808-1212
Fax: (440) 808-0321

The provider's authorized official is Janene Weills .
The authorized official title is Credentialing & Contracting Coord and has the following contact phone number (440) 808-1212.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 4/12/2018.

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	363A00000X	Physician Assistant				No
2	363LA2200X	Nurse Practitioner	Adult Health			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	COA16300-NP	OTHER	OHIO	OHIO LICENSE

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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