GASTROENTEROLOGY OF CANTON INC (NPI# 1124179171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124179171 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY OF CANTON INC |
| Other Organization Name | GOC INC |
| Practice Address |
4124 Munson St Nw Suite A Canton OH 44718-2979 |
| Practice Telephone | 3304926662 |
| Practice Fax Number | 3304926918 |
| Mailing Telephone | 3304926662 |
| Mailing Fax Number | 3304926918 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-08-12 |
| Authorized Official Name | MS. SHARI TOWNSEND (OFFICE MANAGER) |
| Authorized Official Telephone | 3304926662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35046973 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000137194 | 01 |
| OH | 0559819 | 05 | |
| OH | RAILROAD MEDICARE | 100000769 | 01 |
| OH | BUCKEYE COMMUNITY | 735536 | 01 |
| Other Name | Type Code |
|---|---|
| GOC Inc | Doing Business As Name - Organization |
| Street Address |
4124 MUNSON ST NW SUITE A |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326027376 | Khalil B Korkor | Internal Medicine | 4124 Munson St Nw, Suite A, Canton, OH 44718-2979 | 2006-01-10 |
| 1336706506 | North East Ohio Endoscopy Center Inc | Clinic/Center | 4124 Munson St Nw, Canton, OH 44718-4804 | 2019-05-23 |
| 1205865409 | Gastroenterology of Canton Endoscopy Center Inc | Clinic/Center | 4124 Munson St Nw, Suite A, Canton, OH 44718-2979 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| 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 |
|---|---|---|---|---|
| 1639223308 | Sanjiv Khetarpal | Internal Medicine | 4665 Belpar St Nw, Canton, OH 44718 | 2007-01-22 |
| 1326064254 | Edward Thomas Schirack | Internal Medicine | 3722 Dressler Road Nw, Canton, OH 44718 | 2006-07-14 |
| 1326027376 | Khalil B Korkor | Internal Medicine | 4124 Munson St Nw, Suite A, Canton, OH 44718-2979 | 2006-01-10 |
| 1821070830 | Karim Gani | Internal Medicine | 145 Riverstone Ter, Suite 100, Canton, GA 30114-5317 | 2005-11-16 |
| 1013917624 | Sebastian Angelo Mazzotta | Internal Medicine | 4 Stillman Dr, Canton, NY 13617-1221 | 2005-07-26 |
| 1093710055 | Kenny S Yung | Internal Medicine | 2726 Fulton Dr Nw, Canton, OH 44718-3506 | 2005-06-16 |
| 1497750822 | Nabil Fahmy | Internal Medicine | 4360 Fulton Dr Nw, Ste B, Canton, OH 44718-2824 | 2005-06-14 |
| 1245740661 | Ellen Lintner | Internal Medicine | 3722 Dressler Rd Nw, Canton, OH 44718-2700 | 2017-10-11 |
| 1639617608 | Gsi Canton LLC | Internal Medicine | 2726 Fulton Dr Nw, Canton, OH 44718-3506 | 2017-02-09 |
| 1972891737 | Amareshwar Podugu | Internal Medicine | 2726 Fulton Dr Nw, Canton, OH 44718-3506 | 2011-07-14 |
| Find all providers in CANTON | ||||
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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.