GREAT LAKES GASTROENTEROLOGY RESEARCH
NPI 1639591019
Specialist - Research Study in Mentor, OH

Active since January 20, 2014
9485 MENTOR AVE, SUITE 105, MENTOR, OH 44060(440) 205-1225(440) 205-1275 Get Directions Write a Review

NPPES record last updated: January 20, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Great Lakes Gastroenterology Research NPPES

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

GREAT LAKES GASTROENTEROLOGY RESEARCH (NPI 1639591019) is a healthcare organization registered as a research study in Mentor, Ohio and active in the NPI registry since January 2014. The organization lists Leah Nowak, Administrative Coordinator, as its authorized official.

NPPES Registry Identity

NPI1639591019
Entity TypeOrganization
Primary Taxonomy1744R1102X
Legal Business NameGREAT LAKES GASTROENTEROLOGY RESEARCH
Location Address9485 MENTOR AVE, SUITE 105Mentor, OH 44060-4597
Mailing Address9485 Mentor Ave, Suite 105Mentor, OH 44060-4597 · (440) 205-1225 · Fax (440) 205-1275
Fax(440) 205-1275
Organization SubpartNo
Authorized OfficialLeah NowakAdministrative Coordinator · (440) 205-1225
Enumeration DateJanuary 20, 2014
NPI 1639591019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist · Research StudyOther Service Providers
Taxonomy Code1744R1102X
9485 MENTOR AVE, Mentor, OH 44060

Group Practice 1

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

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.

Pediatrics
9485 MENTOR AVE, 101
MENTOR, OH 44060
Dentist
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Physician Assistant
9485 MENTOR AVE
MENTOR, OH 44060
Dentist (General Practice)
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Physician Assistant
9485 MENTOR AVE
MENTOR, OH 44060
Nurse Practitioner (Family)
9485 MENTOR AVE
MENTOR, OH 44060
Dentist (General Practice)
9485 MENTOR AVE, SUITE #112
MENTOR, OH 44060
Radiology (Radiation Oncology)
9485 MENTOR AVE, SUITE 3
MENTOR, OH 44060

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 Great Lakes Gastroenterology Research's NPI number?

The NPI number for Great Lakes Gastroenterology Research is 1639591019. It was assigned to this organization in the NPPES registry on January 20, 2014.

Where is Great Lakes Gastroenterology Research located?

Great Lakes Gastroenterology Research is located at 9485 Mentor Ave Suite 105, Mentor, OH 44060. The listed phone number is (440) 205-1225.

What is Great Lakes Gastroenterology Research's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Research Study, with taxonomy code 1744R1102X.

When was this NPI record last updated?

The NPPES record for Great Lakes Gastroenterology Research was last updated on January 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.