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TUSC COUNTY MEDICAL SPECIALTIES LLC NPI 1518156074


NPI Information

NPI: 1518156074
Provider Name: TUSC COUNTY MEDICAL SPECIALTIES LLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
300 MEDICAL PARK DR
SUITE 205
DOVER, OH
ZIP 44622
Phone: (330) 364-4600
Get Directions

TUSC COUNTY MEDICAL SPECIALTIES LLC is a gastroenterology internal medicine in Dover, 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. TUSC COUNTY MEDICAL SPECIALTIES LLC NPI is 1518156074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 MEDICAL PARK DR
SUITE 205
DOVER, OH
ZIP 44622-073
Phone: (330) 364-4600
Fax: (330) 364-3338

The provider's authorized official is Blair Thomas Holder .
The authorized official title is M.d. and has the following contact phone number (330) 364-4600.

The enumeration date for this NPI number is 10/22/2007 and was last updated on 1/6/2020.


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 MedicineGastroenterology55408OHIOYes

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
1110192418OTHEROHIORAILROAD MEDICARE
22102101MEDICAIDOHIO

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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