SANDUSKY GASTROENTEROLOGISTS, INC. NPI 1003002270

Internal Medicine (Gastroenterology) in Sandusky, OH

Organization Internal Medicine Gastroenterology

About SANDUSKY GASTROENTEROLOGISTS, INC.

Sandusky Gastroenterologists, Inc. is an internal medicine provider established in Sandusky, Ohio specializing in internal medicine (gastroenterology) . The NPI number of Sandusky Gastroenterologists, Inc. is 1003002270 and was 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 13 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. The authorized official of this NPI record is Lawrence R. Mccormack M.d. (President)

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.

NPI

1003002270

Provider NameSANDUSKY GASTROENTEROLOGISTS, INC.
Provider Location Address1410 MILAN RD SANDUSKY, OH 44870
Provider Mailing Address1410 MILAN RD SANDUSKY, OH 44870
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-20-2007
Last Update Date10-01-2007

Primary Taxonomy

Taxonomy Code207RG0100X
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.

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

Authorized Official

Authorized Official Name LAWRENCE R. MCCORMACK M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(419) 627-1056

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.

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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.