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MIDSTATE GASTROENTEROLOGY SPECIALISTS PC
NPI 1487677951
Internal Medicine - Gastroenterology in Meriden, CT

Active since July 25, 2006CLIA 07D2199508 · Waiver
455 LEWIS AVE, SUITE 105, MERIDEN, CT 06451(203) 237-2477(203) 238-1839 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Midstate Gastroenterology Specialists Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDSTATE GASTROENTEROLOGY SPECIALISTS PC (NPI 1487677951) is a healthcare organization registered as a gastroenterology in Meriden, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists David M. Sack, President, as its authorized official.

NPPES Registry Identity

NPI1487677951
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMIDSTATE GASTROENTEROLOGY SPECIALISTS PC
Location Address455 LEWIS AVE, SUITE 105Meriden, CT 06451-2121
Mailing Address455 Lewis Ave, Suite 105Meriden, CT 06451-2121 · (203) 237-2477 · Fax (203) 238-1839
Phone(203) 237-2477
Fax(203) 238-1839
Organization SubpartNo
Authorized OfficialDavid M. SackPresident · (203) 237-2477
Enumeration DateJuly 25, 2006
Last NPPES UpdateSeptember 4, 2007
✔ NPI 1487677951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 027392
Definition
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.
455 LEWIS AVE, Meriden, CT 06451
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2199508

Midstate Gastroenterology Specialists · Meriden, CT
Active · expires Nov 8, 2026
CLIA Number07D2199508
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorHousein Wazaz
Laboratory Phone(203) 237-2477
Laboratory LocationMidstate Gastroenterology Specialists455 Lewis Ave, Suite 105, Meriden, CT 06451
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN JO M.D.
Internal Medicine (Gastroenterology)
455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 886-0036
CONNECTICUT SURGICAL GROUP, PC
Urology
455 LEWIS AVE, SUITE 210
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 238-1241
JAMES JOSEPH GALLAGHER III M.D.
Surgery (Vascular Surgery)
455 LEWIS AVE, SUITE 203
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 634-1900
DR. AURANGZEB A ALI M.D.
Surgery
455 LEWIS AVE, SUITE 216
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 634-0134
LOUIS MEYER MD
Surgery
455 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 238-2691
GARY MARK COHEN M.D.
Internal Medicine (Gastroenterology)
455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 886-0036
MEDICAL ONCOLOGY & HEMATOLOGY PC
Clinical Medical Laboratory
455 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 238-7747
SUSAN ALSAMARAI MD
Internal Medicine (Hematology & Oncology)
455 LEWIS AVE, MIDSTATE MEDICAL GROUP, PC
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 238-7747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midstate Gastroenterology Specialists PC's NPI number?

The NPI number for Midstate Gastroenterology Specialists PC is 1487677951. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Midstate Gastroenterology Specialists PC located?

Midstate Gastroenterology Specialists PC is located at 455 Lewis Ave Suite 105, Meriden, CT 06451. The listed phone number is (203) 237-2477.

What is Midstate Gastroenterology Specialists PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Midstate Gastroenterology Specialists PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2199508) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midstate Gastroenterology Specialists PC was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.