Unknown Individual – Gastroenterology Physician, NPI 1902893639
Gastroenterology Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1031, Pierce Street, South Side, MacArthur Park, Sandusky, Erie County, Ohio, 44870, United States
SUITE D
SANDUSKY, OH 448704669
Phone: (419) 557-5541
Fax: (419) 557-5542
Type: Mailing
703, Tyler Street, Garden District, Sandusky, Erie County, Ohio, 44870, United States
SUITE 151
SANDUSKY, OH 448703367
Phone: (419) 627-0207
Fax: (419) 627-5599
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44870)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | OH | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 166 | 166 |
| GASTROENTEROLOGY | OH | 45378 | Diagnostic examination of large bowel using an endoscope | 149 | 148 |
| GASTROENTEROLOGY | OH | 45385 | Removal of polyps or growths of large bowel using an endoscope | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | LA | |
| Nurse Practitioner | OH | |
| General Practice | OH | |
| Vascular Surgery | OH | |
| P S Y C H I A T R Y | OH | |
| Internal Medicine | OH | |
| Cardiovascular Disease (Cardiology) | NV | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| N E U R O S U R G E R Y | MI |
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