PREMIER GASTROENTEROLOGY, INC. (NPI# 1013999424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013999424 |
Entity Type | Organization |
Organization Name | PREMIER GASTROENTEROLOGY, INC. |
Other Organization Name | PREMIER GASTROENTEROLOGY, INC. |
Practice Address |
1537 South Breiel Boulevard Middletown OH 45044-6703 |
Practice Telephone | 5134258300 |
Practice Fax Number | 5134258301 |
Mailing Telephone | 5134258300 |
Mailing Fax Number | 5134258301 |
Enumeration Date | 2005-11-20 |
Last Update Date | 2014-04-25 |
Authorized Official Name | DR. DENNIS MIN (PRESIDENT) |
Authorized Official Telephone | 5134258300 |
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 |
207RG0100X | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | OHIO BWC | 447788786-00 | 01 |
OH | MEDICAL MUTUAL OF OHIO | 447788786002 | 01 |
OH | 2460877 | 05 |
Other Name | Type Code |
---|---|
Premier Gastroenterology, Inc. | Doing Business As Name - Organization |
Street Address |
1537 SOUTH BREIEL BOULEVARD |
City | MIDDLETOWN |
State | OH |
Zip Code | 45044-6703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104808518 | Dennis Min | Internal Medicine | 1537 South Breiel Boulevard, Middletown, OH 45044-6703 | 2005-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
Find all providers in zip 45044 |
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 |
---|---|---|---|---|
1174537682 | Richard Francis Gaeke | Internal Medicine | 42 North Breiel Blvd, Middletown, OH 45042-3804 | 2006-07-28 |
1205894375 | Middlesex Gastroenterology Associates, LLC | Internal Medicine | 410 Saybrook Road, Suite 201, Middletown, CT 06457-4747 | 2006-05-01 |
1952389496 | Gregory Douglas Gerber | Internal Medicine | 255 N Breiel Blvd, Middletown, OH 45042-3807 | 2006-01-05 |
1104808518 | Dennis Min | Internal Medicine | 1537 South Breiel Boulevard, Middletown, OH 45044-6703 | 2005-11-20 |
1902171168 | Brijesh Bharat Patel | Internal Medicine | 111 Maltese Dr, Middletown, NY 10940-2141 | 2012-03-20 |
1265747489 | Kasim Kazbay | Internal Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2010-08-12 |
1609052117 | Ryan M O'connor | Internal Medicine | 410 Saybrook Road, Suite 201, Middletown, CT 06457 | 2008-01-15 |
1780888354 | Parantap Gupta | Internal Medicine | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2007-06-14 |
1437257797 | Alex J Gershenhorn | Internal Medicine | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2006-09-20 |
1124130760 | Mario Q Ricci Jr. | Internal Medicine | 410 Saybrook Rd, Suite 201, Middletown, CT 06457 | 2006-08-31 |
Find all providers in MIDDLETOWN |
City | MIDDLETOWN |
Zip Code | 45044 |
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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.