NORTH SHORE ENDOSCOPY CENTER, LTD (NPI# 1467474585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467474585 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE ENDOSCOPY CENTER, LTD |
| Practice Address |
850 Columbia Rd Suite 200 Westlake OH 44145-1493 |
| Practice Telephone | 4408081212 |
| Practice Fax Number | 4408080321 |
| Mailing Telephone | 4408081212 |
| Mailing Fax Number | 4408080321 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | DR. MOUSAB I TABBAA (PRESIDENT) |
| Authorized Official Telephone | 4408081212 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0226151 | 05 | |
| OH | RAILROAD MEDICARE | 490002928 | 01 |
| Street Address |
850 COLUMBIA RD SUITE 200 |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281245 | Lakewood Anesthesia Associates, Inc. | Anesthesiology | 850 Columbia Rd, Westlake, OH 44145-1493 | 2005-08-09 |
| 1295269975 | Devon Mauch | Physical Therapist | 850 Columbia Rd, Westlake, OH 44145-1493 | 2017-04-19 |
| 1003290883 | Renee M Schnupp | Physician Assistant | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2015-07-12 |
| 1790177244 | Kristen M Patterson | Nurse Practitioner | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2015-02-20 |
| 1639560675 | North Shore Gastroenterology, Inc | Physician Assistant | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2015-02-12 |
| 1558769034 | Sonya Mertz | Clinic/Center | 850 Columbia Rd, Westlake, OH 44145-1493 | 2014-12-15 |
| 1861812992 | Mary Saloka Morrison | Physical Therapist | 850 Columbia Rd, 110, Westlake, OH 44145-1493 | 2014-04-16 |
| 1518382621 | Nancy L Grech | Nurse Practitioner | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2014-02-26 |
| 1164768560 | Kimberly Nicole Folliett-vranic | Registered Nurse | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2012-12-13 |
| 1083958375 | Cheryl Milani | Physician Assistant | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2012-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| 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 |
|---|---|---|---|---|
| 1578760211 | Noma Dakhil | Internal Medicine | 30701 Clemens Rd., Westlake, OH 44145 | 2007-06-27 |
| 1801818646 | Khaled Issa | Internal Medicine | 30701 Clemens Rd, Westlake, OH 44145-1074 | 2006-07-24 |
| 1245258680 | Edmond William Blades | Internal Medicine | 30701 Clemens Road, Westlake, OH 44145 | 2006-07-17 |
| 1104269679 | Jacob Sadik | Internal Medicine | 30701 Clemens Rd, Westlake, OH 44145-1074 | 2013-04-15 |
| 1831485028 | Jonathan Dale Umbel | Internal Medicine | 29000 Center Ridge Rd, Suite 150, Westlake, OH 44145-5293 | 2011-06-26 |
| 1417272113 | Rinjal D Brahmbhatt | Internal Medicine | 850 Columbia Rd Ste 200, Westlake, OH 44145-7215 | 2010-04-06 |
| 1811130222 | Kimberly Anne Harris | Internal Medicine | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2009-04-15 |
| 1750572749 | Preeti Jhawar | Internal Medicine | 850 Columbia Rd Ste 200, Westlake, OH 44145-7215 | 2007-08-06 |
| 1760565857 | Jason F Vollweiler | Internal Medicine | 850 Columbia Rd, Suite 200, Westlake, OH 44145-1493 | 2006-10-23 |
| 1083636856 | Robert F Straub | Internal Medicine | 850 Columbia Rd, 200, Westlake, OH 44145 | 2006-07-24 |
| Find all providers in WESTLAKE | ||||
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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.