SANDUSKY GASTROENTEROLOGISTS, INC.
NPI 1003002270
Internal Medicine - Gastroenterology in Sandusky, OH

NPI Status: Active since September 20, 2007

Contact Information

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

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  • Organization
  • Internal Medicine
  • Gastroenterology
  • CLIA Number: 36D1011855
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About SANDUSKY GASTROENTEROLOGISTS, INC.

This page provides the complete NPI Profile along with additional information for Sandusky Gastroenterologists, Inc., an internist established in Sandusky, Ohio operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1003002270 assigned on September 2007. The practitioner's primary taxonomy code is 207RG0100X with license number 034991 (OH). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Lawrence R. Mccormack M.d. (President)

NPI
1003002270
Provider Name
SANDUSKY GASTROENTEROLOGISTS, INC.
Entity Type
Organization
Location Address
1410 MILAN RD SANDUSKY, OH 44870
Location Phone
(419) 627-1056
Location Fax
(419) 627-6269
Mailing Address
1410 MILAN RD SANDUSKY, OH 44870
Mailing Phone
(419) 627-1056
Mailing Fax
(419) 627-6269
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2007
Last Update Date
10-01-2007
Code Navigator

An internist like Sandusky Gastroenterologists, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License No.
034991
License State
OH
Taxonomy Description
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.

Group Taxonomy 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAWRENCE R. MCCORMACK M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(419) 627-1056

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D1011855
Facility Type
Community Clinic
Certificate Effective Date
April 24, 2003
Certificate Expiration Date
May 22, 2026
Laboratory Director
LAURIE BAUER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Sandusky Gastroenterologists, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003002270, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 40. The final step is to find the difference between that total and the next multiple of ten (40 - 40 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 0 + 4 + 2 + 1 + 4 + 24 = 40

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 40 is 40. The difference is the calculated check digit.

40 - 40 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1003002270.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003002270, enumerated as an "organization" on September 20, 2007.

The provider is located at 1410 MILAN RD SANDUSKY, OH 44870 and the phone number is (419) 627-1056.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.