GREAT LAKES GASTROENTEROLOGY CONSULTANTS, LLC
NPI 1821155177
Internal Medicine - Gastroenterology in Oregon, OH

Active since January 03, 2007
2702 NAVARRE AVE, SUITE 106, OREGON, OH 43616(419) 696-5555(419) 696-8499 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Lakes Gastroenterology Consultants, Llc NPPES

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

GREAT LAKES GASTROENTEROLOGY CONSULTANTS, LLC (NPI 1821155177) is a healthcare organization registered as a gastroenterology in Oregon, Ohio and active in the NPI registry since January 2007. The organization lists Sudhakar N. Pangulur, President, as its authorized official.

NPPES Registry Identity

NPI1821155177
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGREAT LAKES GASTROENTEROLOGY CONSULTANTS, LLC
Location Address2702 NAVARRE AVE, SUITE 106Oregon, OH 43616-3223
Mailing Address2702 Navarre Ave, Suite 106Oregon, OH 43616-3223 · (419) 696-5555 · Fax (419) 696-8499
Fax(419) 696-8499
Organization SubpartNo
Authorized OfficialSudhakar N. PangulurPresident · (419) 696-5555
Enumeration DateJanuary 3, 2007
Last NPPES UpdateMay 9, 2008
NPI 1821155177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
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.
2702 NAVARRE AVE, Oregon, OH 43616

Other Identifiers 2

Medicaid2286262OH
Medicare PINGR9360471OH

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.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2702 NAVARRE AVE, SUITE 102
OREGON, OH 43616
Nurse Practitioner (Adult Health)
2702 NAVARRE AVE, SUITE 201
OREGON, OH 43616
Nurse Practitioner (Family)
2702 NAVARRE AVE, SUITE 201
OREGON, OH 43616
Nurse Practitioner (Family)
2702 NAVARRE AVE
OREGON, OH 43616
Obstetrics & Gynecology
2702 NAVARRE AVE, SUITE 305
OREGON, OH 43616
Internal Medicine (Nephrology)
2702 NAVARRE AVE, SUITE 201
OREGON, OH 43616
Internal Medicine (Nephrology)
2702 NAVARRE AVE, 201
OREGON, OH 43616
Ophthalmology
2702 NAVARRE AVE, SUITE 320
OREGON, OH 43616

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 Consultants, LLC's NPI number?

The NPI number for Great Lakes Gastroenterology Consultants, LLC is 1821155177. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Great Lakes Gastroenterology Consultants, LLC located?

Great Lakes Gastroenterology Consultants, LLC is located at 2702 Navarre Ave Suite 106, Oregon, OH 43616. The listed phone number is (419) 696-5555.

What is Great Lakes Gastroenterology Consultants, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Great Lakes Gastroenterology Consultants, LLC was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.