GASTRO CARE LLC NPI 1740424944

NPI Information

  • NPI: 1740424944
  • Provider Name: GASTRO CARE, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 36D1100016
  • Address: 2355 DERR RD
    SPRINGFIELD, OH
    ZIP 45503
  • Phone: (937) 629-0100

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NPI Details

GASTRO CARE, LLC is an ambulatory surgical clinic center in Springfield, OH. GASTRO CARE, LLC NPI is 1740424944. The provider is registered as an organization entity type.

The provider's business location address is:

2355 DERR RD
SPRINGFIELD, OH
ZIP 45503-433
Phone: (937) 629-0100
Fax: (937) 629-3285

The provider's authorized official is Challa Ajit .
The authorized official title is Physician and has the following contact phone number (937) 629-0100.

The CLIA number assigned to this NPI record is 36D1100016 - 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)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 5/1/2009 and was last updated on 5/1/2009.

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 SurgicalYes

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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