WARREN GASTRO ENDOSCOPY CTR INC NPI 1396738936

NPI Information

  • NPI: 1396738936
  • Provider Name: WARREN GASTRO ENDOSCOPY CTR INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 36D0941261
  • Address: 1622 E MARKET ST
    WARREN, OH
    ZIP 44483
  • Phone: (330) 399-7215

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NPI Details

WARREN GASTRO ENDOSCOPY CTR INC is an ambulatory surgical clinic center in Warren, OH. WARREN GASTRO ENDOSCOPY CTR INC NPI is 1396738936. The provider is registered as an organization entity type.

The provider's business location address is:

1622 E MARKET ST
WARREN, OH
ZIP 44483-613
Phone: (330) 399-7215
Fax: (330) 399-2411

The provider's authorized official is Adel I Youssef .
The authorized official title is President and has the following contact phone number (330) 399-7215.

The CLIA number assigned to this NPI record is 36D0941261 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Dilation of esophagus (HCPCS:43450)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Destruction of internal hemorrhoids using heat (HCPCS:46930)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)

The enumeration date for this NPI number is 8/30/2005 and was last updated on 5/6/2021.

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
1261QA1903XClinic/CenterAmbulatory Surgical346 0335ASOHIOYes

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
12078719MEDICAIDOHIO
2000000157529OTHEROHIOANTHEM PIN

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: 11/21/2025

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