SOUTHWEST OHIO GASTROENTEROLOGY, INC (NPI# 1396833034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396833034 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST OHIO GASTROENTEROLOGY, INC |
| Practice Address |
11111 Montgomery Rd Cincinnati OH 45249-2391 |
| Mailing Address |
Po Box 712585 Cincinnati OH 45271-0001 |
| Practice Telephone | 5136054800 |
| Practice Fax Number | 5136054805 |
| Mailing Telephone | 5136054800 |
| Mailing Fax Number | 5136054805 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | DR. SAMUEL S DEL MAURO (MEDICAL DIRECTOR/PRESIDENT) |
| Authorized Official Telephone | 5136054800 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0938203 | 05 |
| Street Address |
11111 MONTGOMERY RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45249-2391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254040 | Daniel Debo | Internal Medicine | 11111 Montgomery Rd, Cincinnati, OH 45249-2391 | 2005-06-10 |
| 1700880317 | Samuel Del Mauro | Internal Medicine | 11111 Montgomery Rd, Cincinnati, OH 45249-2391 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235668526 | Kayla Murray | Midwife | 8763 Weller Road, Cincinnati, OH 45249 | 2017-06-08 |
| 1992041214 | Ohio River Laboratories, LLC | Clinical Medical Laboratory | Ohio River Laboratories, LLC, 1841 Mason Montgomery Rd, Unit 1c, Cincinnati, OH 45249 | 2012-12-13 |
| 1073832762 | Aurora Home Care Inc. | In Home Supportive Care | 9042 Winthrop Drive, Cincinnati, OH 45249 | 2010-05-20 |
| 1407012842 | Dr Jennifer Munson Kidney Care Specialist LLC | Internal Medicine | 11397 Terwillingers Creek Drive, Cincinnati, OH 45249 | 2008-08-05 |
| 1114105244 | Individual Care Center | Community/Behavioral Health | 8833 Chapel Square Lane, Cincinnati, OH 45249 | 2008-01-31 |
| 1083823553 | James Michael Fuchs | Dentist | 8805 Governors Hill, #105, Cincinnati, OH 45249 | 2007-05-22 |
| 1871715474 | Conrad Thomas Landing | Physical Therapist | 8650 Govenors Hill Dr., Cincinnati, OH 45249 | 2007-05-03 |
| 1649317108 | Dr. E. M. Kirstein & Associates, Inc. | Optometrist | 8211 Cornell Rd., Suite 510, Cincinnati, OH 45249 | 2007-01-31 |
| 1790821791 | Melissa Elaine Bowman | Optometrist | 11919 Montgomery Rd, Cincinnati, OH 45249 | 2007-01-29 |
| 1477621258 | Sergio L Mezcua | Internal Medicine | 11140 Montgomery Road, Suite 2500, Montgomery, OH 45249 | 2006-12-01 |
| Find all providers in zip 45249 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760681811 | Karen Elizabeth Haberthier | Internal Medicine | 2925 Vernon Place, Suite 100, Cincinnati, OH 45226 | 2007-07-17 |
| 1831217975 | Cincinnati Digestive Disease Associates Inc | Internal Medicine | 6350 E Galbraith Rd, Cincinnati, OH 45236-2354 | 2007-03-27 |
| 1720093586 | Greater Cincinnati Digestive Health Network | Internal Medicine | 8260 Northcreek Dr, Suite 310, Cincinnati, OH 45236-2293 | 2006-07-30 |
| 1861416596 | Gregory Mathias Lam | Internal Medicine | 7661 Beechmont Ave Ste 120, Cincinnati, OH 45255-4234 | 2006-07-26 |
| 1801815352 | Kandarp Shah | Internal Medicine | 7502 State Rd Ste 1180, Cincinnati, OH 45255-2800 | 2006-07-18 |
| 1437120706 | John R Loughrey | Internal Medicine | 5215 N Bend Rd, Cincinnati, OH 45247-8006 | 2006-01-27 |
| 1548259468 | Lisa S. Lestina | Internal Medicine | 2925 Vernon Pl, Suite 100, Cincinnati, OH 45219-2425 | 2005-10-14 |
| 1073512729 | Howard Deckter | Internal Medicine | 10600 Montgomery Rd, Suite 100, Cincinnati, OH 45242-4463 | 2005-07-15 |
| 1760488993 | Stephen J Goldberg | Internal Medicine | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2005-06-22 |
| 1396749891 | Mark A Manegold | Internal Medicine | 2450 Kipling Ave, Suite 104, Cincinnati, OH 45239-6600 | 2005-06-13 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45249 |
Please comment or provide details below to improve the information on SOUTHWEST OHIO GASTROENTEROLOGY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.