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Contact Information

GASTROENTEROLOGY SPECIALISTS INC
2726 FULTON DR NW
CANTON, OH44718-3506
 Phone: 330-455-5011
 Fax: 330-588-7127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for GASTROENTEROLOGY SPECIALISTS INC

NPI # 1447231287
LBN Legal business name GASTROENTEROLOGY SPECIALISTS INC
Authorized official ANA THEISEN - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2005
Last updated 01/14/2021 - About 5 years ago
Identifiers
OH License # 0725AS
OH Medicaid 0842333
OH Other 8467319 AETNA
OH Other 000000157479 ANTHEM BCBS
OH Other P00132061 MEDICARE RAILROAD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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