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GASTROENTEROLOGY OF WEST CENTRAL OHIO INC. NPI 1134292584


NPI Information

NPI: 1134292584
Provider Name: GASTROENTEROLOGY OF WEST CENTRAL OHIO, INC.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 36D1062301

Address:
375 N EASTOWN RD
LIMA, OH
ZIP 45807
Phone: (419) 228-3500
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GASTROENTEROLOGY OF WEST CENTRAL OHIO, INC. is a gastroenterology internal medicine in Lima, 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 WEST CENTRAL OHIO, INC. NPI is 1134292584. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

375 N EASTOWN RD
LIMA, OH
ZIP 45807-214
Phone: (419) 228-3500
Fax: (419) 228-6700

The provider's authorized official is Abdulla Taja .
The authorized official title is Owner President and has the following contact phone number (419) 228-3500.

The CLIA number assigned to this NPI record is 36D1062301 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/26/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19366471MEDICARE PINOHIO

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

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