| Gastro-intestinal Associates, Inc | |
|
2793 Shawnee Rd Lima OH 45806-1444 | |
| (419) 227-8209 | |
| Not Available |
| Full Name | Gastro-intestinal Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2793 Shawnee Rd, Lima, Ohio |
| Authorized Official Name and Position | Robert L Neidich (PRESIDENT) |
| Authorized Official Contact | 4192278209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro-intestinal Associates, Inc 2793 Shawnee Rd Lima OH 45806-1444 Ph: (419) 227-8209 | Gastro-intestinal Associates, Inc 2793 Shawnee Rd Lima OH 45806-1444 Ph: (419) 227-8209 |
| NPI Number | 1275571929 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 10/09/2008 |
| Medicare PECOS PAC ID | 0749234383 |
|---|---|
| Medicare Enrollment ID | O20050308000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275571929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Dennis M Bullen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174579924 PECOS PAC ID: 0749193886 Enrollment ID: I20031106000127 |
| Provider Name | Tommy Wayne Lyons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548257652 PECOS PAC ID: 2163494006 Enrollment ID: I20040810001505 |
| Provider Name | Duane L Fuerst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972596468 PECOS PAC ID: 1951362748 Enrollment ID: I20041025000823 |
| Provider Name | Carrie A Stoller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801870746 PECOS PAC ID: 6406893536 Enrollment ID: I20050411000912 |
| Provider Name | Robert Lester Neidich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568433910 PECOS PAC ID: 0345294997 Enrollment ID: I20050621001232 |
| Provider Name | Barry Lee Haines |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467460303 PECOS PAC ID: 2466471271 Enrollment ID: I20051121001013 |
| Provider Name | Laurie A Knippen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154360030 PECOS PAC ID: 3173527397 Enrollment ID: I20060831000023 |
| Provider Name | Douglas K White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558494716 PECOS PAC ID: 2466557343 Enrollment ID: I20070423000001 |
| Provider Name | Scott E Rinesmith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790837433 PECOS PAC ID: 2062512916 Enrollment ID: I20070709000050 |
| Provider Name | John C Manuel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912153875 PECOS PAC ID: 9032286877 Enrollment ID: I20080922000125 |
| Provider Name | Jayde E Kurland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992785430 PECOS PAC ID: 9335297282 Enrollment ID: I20090501000391 |
| Provider Name | Howard J Solomon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295707404 PECOS PAC ID: 3072567627 Enrollment ID: I20100429000733 |
| Provider Name | Tariq I Sheikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043282239 PECOS PAC ID: 0345302899 Enrollment ID: I20100504000266 |
| Provider Name | Tammie L Mericle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932404530 PECOS PAC ID: 7214112366 Enrollment ID: I20110505000025 |
| Provider Name | Nichola L Warnecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376824086 PECOS PAC ID: 9537331251 Enrollment ID: I20110930000297 |
| Provider Name | Robert Moon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821006743 PECOS PAC ID: 9234038886 Enrollment ID: I20111119000021 |
| Provider Name | Kelsey R Brokamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790039196 PECOS PAC ID: 8628222973 Enrollment ID: I20130214000088 |
| Provider Name | Krystal Umfleet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679931968 PECOS PAC ID: 7911203211 Enrollment ID: I20160314000583 |
| Provider Name | Stacy L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427419183 PECOS PAC ID: 6002114980 Enrollment ID: I20160408001021 |
| Provider Name | Ashley Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144730714 PECOS PAC ID: 7719253541 Enrollment ID: I20171024001016 |
| Provider Name | Sheena B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235496142 PECOS PAC ID: 5193943553 Enrollment ID: I20180828002859 |
| Provider Name | Julie L Garver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962096768 PECOS PAC ID: 3072922244 Enrollment ID: I20210429002982 |
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