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GASTROENTEROLOGY OF CANTON ENDOSCOPY CENTER INC NPI 1205865409


NPI Information

NPI: 1205865409
Provider Name: GASTROENTEROLOGY OF CANTON ENDOSCOPY CENTER INC

Doing Business As: GOC ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4124 MUNSON ST NW
SUITE A
CANTON, OH
ZIP 44718
Phone: (330) 492-6662
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GASTROENTEROLOGY OF CANTON ENDOSCOPY CENTER INC is an ambulatory surgical clinic center in Canton, OH. GASTROENTEROLOGY OF CANTON ENDOSCOPY CENTER INC NPI is 1205865409. The provider is registered as an organization entity type.
The provider Is Doing Business As Goc Endoscopy Center.

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 L 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 7/1/2006 and was last updated on 6/4/2008.


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
1261QA1903XClinic/CenterAmbulatory Surgical0382ASOHIOYes

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
1=========OTHEROHIOAULTCARE
2=========002OTHEROHIOMEDICAL MUTUAL
32038262MEDICAIDOHIO
4000000357184OTHEROHIOANTHEM
5651202OTHEROHIOAETNA
6=========026OTHEROHIOCARESOURCE
7GA3610852MEDICARE 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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