CLINICAL GASTROENTEROLOGY INC – NPI #1376569293
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.

CLINICAL GASTROENTEROLOGY INC is a provider located in CANTON, OH. NPPES has assigned the NPI number 1376569293 to CLINICAL GASTROENTEROLOGY INC on July 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 6 years ago on Aug 22, 2020. 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 CLINICAL GASTROENTEROLOGY INC below.

NPI Profile for
CLINICAL GASTROENTEROLOGY INC

NPI Number
1376569293
Enumeration Date

(about 20 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
CLINICAL GASTROENTEROLOGY INC
Primary location
3722 DRESSLER RD NW
CANTON, OH 44718
Phone: (330) 479-9000 Fax: (330) 477-5805
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD ELLIOTT
PRESIDENT
Phone: (330) 479-9000
Updated
Identifiers

Identifiers for CLINICAL GASTROENTEROLOGY INC

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
MEDICAIDOH0636771
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.