OHIO DIGESTIVE AND LIVER ASSOCIATES LLC (NPI# 1861925430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861925430 |
| Entity Type | Organization |
| Organization Name | OHIO DIGESTIVE AND LIVER ASSOCIATES LLC |
| Practice Address |
503 Wooster Rd Mount Vernon OH 43050-1486 |
| Mailing Address |
4619 Sandwich Ct Dublin OH 43016-8292 |
| Practice Telephone | 9174327333 |
| Practice Fax Number | 6097980789 |
| Mailing Telephone | 9174327333 |
| Mailing Fax Number | 6097980789 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | DR. GHULAM MUJTABA (OWNER) |
| Authorized Official Telephone | 9174327333 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35097038 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
503 WOOSTER RD |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-1486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373630 | Alyssa Romanko | Nurse Practitioner | 503 Wooster Rd, Mount Vernon, OH 43050-1486 | 2019-03-01 |
| 1174005185 | Samantha Nichole Mcdaniel | Nurse Practitioner | 503 Wooster Rd, Mount Vernon, OH 43050-1486 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| 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 |
|---|---|---|---|---|
| 1730421355 | Joshua Hartman | Internal Medicine | 540 Gramatan Ave, Mount Vernon, NY 10552-2104 | 2013-03-21 |
| 1841268521 | Gregory Szych | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-03-09 |
| 1194022541 | Faizan Ali Khan | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2011-02-22 |
| 1093970576 | Sankar S Alagugurusamy | Internal Medicine | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2008-07-23 |
| 1790820546 | Donald E. Wakelin | Internal Medicine | 1400 E. Kincaid St., Skagit Regional Clinics, Mount Vernon, WA 98274-4127 | 2007-02-20 |
| 1437210341 | Richard Chernecky | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-12-13 |
| 1730260761 | Kalyan S. Wadwa | Internal Medicine | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2006-10-18 |
| 1063478451 | Donald W. Wadland | Internal Medicine | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2006-04-25 |
| 1417944463 | John S Halsey | Internal Medicine | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043779911 | Gregory B Cortese | Internal Medicine | 32800 Lorain Rd, North Ridgeville, OH 44039-3430 | 2019-03-19 |
| 1619461381 | Beth Kulow | Internal Medicine | 395 W 12th Ave Fl 2, Columbus, OH 43210-1267 | 2018-06-18 |
| 1467961078 | Gastro Office LLC | Internal Medicine | 4600 Leap Ct Ste 101, Hilliard, OH 43026-1171 | 2017-09-26 |
| 1023536687 | Specialty Medicine Care, LLC | Internal Medicine | 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459-3823 | 2017-09-05 |
| 1982099370 | Michael Kurin | Internal Medicine | 11100 Euclid Ave Ste 247, Cleveland, OH 44106-1716 | 2015-04-02 |
| 1396140604 | Noufal Jajeh | Internal Medicine | 930 Wapakoneta Ave, Sidney, OH 45365-1460 | 2014-10-29 |
| 1619371580 | Specialty Medicine Care, LLC | Internal Medicine | 1250 W. National Rd, Suite 700, Englewood, OH 45315 | 2014-10-21 |
| 1821417239 | Ahmad Nasr Anaizi | Internal Medicine | 1025 Refugee Rd Fl 1, Pickerington, OH 43147-9861 | 2014-04-14 |
| 1205260890 | Columbiana Gastroenterology Group Inc | Internal Medicine | 235 E State Route 14, Columbiana, OH 44408-8494 | 2013-08-30 |
| 1871841627 | Robert B. Cucinotta Md Inc. | Internal Medicine | 1010 Cereal Ave., Suite 209, Hamilton, OH 45013-2776 | 2012-08-28 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
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| 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.