WARREN GASTRO ENDOSCOPY CTR INC (NPI# 1396738936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396738936 |
| Entity Type | Organization |
| Organization Name | WARREN GASTRO ENDOSCOPY CTR INC |
| Practice Address |
1622 E Market St Warren OH 44483-6613 |
| Mailing Address |
Po Box 72188 Cleveland OH 44192-0002 |
| Practice Telephone | 3303997215 |
| Practice Fax Number | 3303992411 |
| Mailing Telephone | 3303997215 |
| Mailing Fax Number | 3303992411 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2013-01-04 |
| Authorized Official Name | DR. ADEL I YOUSSEF (PRESIDENT) |
| Authorized Official Telephone | 3303997215 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
346 0335AS | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM PIN | 000000157529 | 01 |
| OH | 2078719 | 05 |
| Street Address |
1622 E MARKET ST |
| City | WARREN |
| State | OH |
| Zip Code | 44483-6613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788477 | Adel I Youssef | Specialist | 1622 E Market St, Warren, OH 44483-6613 | 2005-08-29 |
| 1750892634 | Laura J Cesario | Nurse Practitioner | 1622 E Market St, Warren, OH 44483-6613 | 2017-10-18 |
| 1912429689 | Brittney Lynn Kubina | Nurse Practitioner | 1622 E Market St, Warren, OH 44483-6613 | 2017-07-13 |
| 1639544166 | Jill Marie Fabian | Registered Nurse | 1622 E Market St, Warren, OH 44483-6613 | 2015-12-09 |
| 1225462179 | Gi Physicians Endoscopy Inc | Clinic/Center | 1622 E Market St, Warren, OH 44483-6613 | 2013-08-28 |
| 1760778047 | Kevin Castillo | Internal Medicine | 1622 E Market St, Warren, OH 44483-6613 | 2011-06-24 |
| 1588955470 | Gi Pathology, LLC | Pathology | 1622 E Market St, Warren, OH 44483-6613 | 2011-04-26 |
| 1780903518 | John Lee Weippert | Internal Medicine | 1622 E Market St, Warren, OH 44483-6613 | 2010-05-18 |
| 1952497117 | The Gastroenterology Clinic & Endoscopy Center Inc | Internal Medicine | 1622 E Market St, Warren, OH 44483-6613 | 2006-10-05 |
| 1972582435 | Lee C Laney Jr. | Internal Medicine | 1622 E Market St, Warren, OH 44483 | 2006-01-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1013565175 | David B Schwartz Md, LLC | Clinic/Center | 2123 Auburn Ave Ste 320, Cincinnati, OH 45219-2906 | 2019-08-30 |
| 1801457478 | Dialysis Access Center, LLC | Clinic/Center | 8423 Market St Ste 210, Boardman, OH 44512-6778 | 2019-06-25 |
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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.