DAYTON GASTROENTEROLOGY LLC – NPI #1134345705
Internal Medicine

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.

DAYTON GASTROENTEROLOGY LLC is a provider located in DAYTON, OH. NPPES has assigned the NPI number 1134345705 to DAYTON GASTROENTEROLOGY LLC on April 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The NPI data also shows multiple names associated with this provider such as Digestive Disease Consultants and 2 other listed below. According to the NPI data, there are 12 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was last updated on Feb 03, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAYTON GASTROENTEROLOGY LLC below.

NPI Profile for
DAYTON GASTROENTEROLOGY LLC

NPI Number
1134345705
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAYTON GASTROENTEROLOGY LLC
Other name(s)
All associated names:
Doing Business As (dba)
Digestive Disease Consultants
Doing Business As (dba)
Gastroenterology and Hepatology Specialists
Doing Business As (dba)
GREAT LAKES GASTROENTEROLOGY
Primary location
75 SYLVANIA DR
DAYTON, OH 45440-3237
Phone: (937) 320-5050 Fax: (937) 320-5060
12 Other location(s):
4200 Indian Ripple Rd
Beavercreek, OH 45440-3248
Phone: (937) 320-5050
500 E Royalton Rd Ste 100
Broadview Heights, OH 44147-2592
Phone: (330) 225-6468
1299 Industrial Pkwy N Ste 110
Brunswick, OH 44212-6366
Phone: (330) 225-6468
1299 Industrial Pkwy N Ste 120
Brunswick, OH 44212-6366
Phone: (330) 225-6468
1299 Industrial Pkwy N Ste 210
Brunswick, OH 44212-6366
Phone: (330) 225-6468
1299 Industrial Pkwy N Ste 290
Brunswick, OH 44212-6367
Phone: (330) 225-6468
4360 Fulton Dr NW Ste B
Canton, OH 44718-2878
Phone: (330) 305-2020
9614 Old Johnnycake Ridge Rd
Concord Township, OH 44060-6521
Phone: (440) 205-1225
9000 N Main St Ste 405
Englewood, OH 45415-1170
Phone: (937) 320-5050
3985 Medina Rd Ste 120
Medina, OH 44256-5968
Phone: (330) 225-6468
8877 Mentor Ave
Mentor, OH 44060-6211
Phone: (440) 205-1225
415 Byers Rd Ste 100
Miamisburg, OH 45342-3684
Phone: (937) 320-5050
Mailing address
ONE GI CREDENTIALING DEPARTMENT
PO BOX 381468
GERMANTOWN, TN 38183
Phone: Fax:
Organization Subpart
No
Authorized Official
KRISTINA MATERNA
DIRECTOR, CREDENTIALING
Phone: (901) 377-8219
Updated
Certification Date
Feb 03, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DAYTON GASTROENTEROLOGY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH3059523
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.