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NORTH SHORE GASTROENTEROLOGY, INC
NPI 1639560675
Nurse Practitioner - Adult Health in Westlake, OH

Active since February 12, 2015CLIA 36D2293635 · Waiver
850 COLUMBIA RD, SUITE 200, WESTLAKE, OH 44145(440) 808-1212(440) 808-0321 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About North Shore Gastroenterology, Inc NPPES

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

NORTH SHORE GASTROENTEROLOGY, INC (NPI 1639560675) is a healthcare organization registered as an adult health in Westlake, Ohio and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Janene Weills, Credentialing & Contracting Coord, as its authorized official.

NPPES Registry Identity

NPI1639560675
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameNORTH SHORE GASTROENTEROLOGY, INC
Location Address850 COLUMBIA RD, SUITE 200Westlake, OH 44145-1493
Mailing Address850 Columbia Rd Ste 200Westlake, OH 44145-7215 · (440) 808-1212 · Fax (440) 808-0321
Phone(440) 808-1212
Fax(440) 808-0321
Organization SubpartNo
Authorized OfficialJanene WeillsCredentialing & Contracting Coord · (440) 808-1212
Enumeration DateFebruary 12, 2015
Last NPPES UpdateApril 12, 2018
✔ NPI 1639560675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedPhysician AssistantTaxonomy 363A00000X
850 COLUMBIA RD, Westlake, OH 44145
Open in Google Maps ↗

Other Identifiers 1

OtherCOA16300-NPOH · Ohio License

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 36D2293635

North Shore Gastroenterology · Westlake, OH
Active · expires Nov 12, 2027
CLIA Number36D2293635
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorMohamed Naem
Laboratory Phone(440) 808-1212
Laboratory LocationNorth Shore Gastroenterology850 Columbia Road, Suite 200, Westlake, OH 44145
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.

PETER H GREENWALT MD
Internal Medicine (Gastroenterology)
850 COLUMBIA RD, SUITE 200
WESTLAKE, OH 44145
Cuyahoga County (440) 808-1212
SAROJ MAHALAHA MD
Obstetrics & Gynecology
850 COLUMBIA RD, #330
WESTLAKE, OH 44145
Cuyahoga County (440) 835-3883
FAIRVIEW HOSPITAL
General Practice
850 COLUMBIA RD, STE 320
WESTLAKE, OH 44145
Cuyahoga County (216) 444-2273
LINDSAY CLARK
Optometrist
850 COLUMBIA RD
WESTLAKE, OH 44145
Cuyahoga County (866) 320-4573
CHERYL MILANI PA-C
Physician Assistant
850 COLUMBIA RD, SUITE 200
WESTLAKE, OH 44145
Cuyahoga County (440) 808-1212
DR. ANASTACIA LAGUNZAD KRIZMAN DO
Internal Medicine
850 COLUMBIA RD
WESTLAKE, OH 44145
Cuyahoga County (440) 250-5737
DR. ANNE MARIE JACKSON PT, DPT
Physical Therapist
850 COLUMBIA RD
WESTLAKE, OH 44145
Cuyahoga County (866) 320-4573
DR. IQBAL AHMED MD
Internal Medicine (Gastroenterology)
850 COLUMBIA RD, SUITE 200
WESTLAKE, OH 44145
Cuyahoga County (440) 808-1212

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 North Shore Gastroenterology, Inc's NPI number?

The NPI number for North Shore Gastroenterology, Inc is 1639560675. It was assigned to this organization in the NPPES registry on February 12, 2015.

Where is North Shore Gastroenterology, Inc located?

North Shore Gastroenterology, Inc is located at 850 Columbia Rd Suite 200, Westlake, OH 44145. The listed phone number is (440) 808-1212.

What is North Shore Gastroenterology, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does North Shore Gastroenterology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2293635) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Shore Gastroenterology, Inc was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.