SANDUSKY GASTROENTEROLOGISTS, INC. NPI 1003002270

Internal Medicine (Gastroenterology) in Sandusky, OH

About SANDUSKY GASTROENTEROLOGISTS, INC.

Sandusky Gastroenterologists, Inc. is a provider in Sandusky, OH. The NPI number assigned to this provider is 1003002270. The practitioner's primary taxonomy code is Internal Medicine (207RG0100X). The provider is registered as an organization and their NPI record was last updated 11 years ago. Sandusky Gastroenterologists, Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI

1003002270

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameSANDUSKY GASTROENTEROLOGISTS, INC.
Provider Location Address1410 MILAN RD SANDUSKY, OH 44870 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1410 MILAN RD SANDUSKY, OH 44870 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-20-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-01-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

SANDUSKY GASTROENTEROLOGISTS, INC.
1410 MILAN RD
SANDUSKY, OH
ZIP 44870
Phone: (419) 627-1056
Fax: (419) 627-6269
Get Directions

Mailing Address

SANDUSKY GASTROENTEROLOGISTS, INC.
1410 MILAN RD
SANDUSKY, OH
ZIP 44870
Phone: (419) 627-1056
Fax: (419) 627-6269

Primary Taxonomy

Taxonomy Code207RG0100X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.034991
License StateOH
Taxonomy DescriptionAn 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.

Authorized Official

Authorized Official Name LAWRENCE R. MCCORMACK M.D. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(419) 627-1056

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
A77497MEDICARE UPIN (02)OH
0361791MEDICAID (05)OH
SA9917812MEDICARE PIN (08)OH

Map Location


SANDUSKY GASTROENTEROLOGISTS, INC. address is 1410 MILAN RD SANDUSKY, OH 44870
Previous NPI
1003002262
Next NPI
1003002288