PROMEDICA GI PHYSICIANS, LLC (NPI# 1578846622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578846622 |
| Entity Type | Organization |
| Organization Name | PROMEDICA GI PHYSICIANS, LLC |
| Other Organization Name | DIGESTIVE HEALTHCARE CONSULTANTS OF NW OHIO |
| Practice Address |
3439 Granite Cir Toledo OH 43617-1161 |
| Practice Telephone | 4198437996 |
| Practice Fax Number | 4198417704 |
| Mailing Telephone | 4198437996 |
| Mailing Fax Number | 4198417704 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | AMY L BAHNSEN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4198247334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
OH | Ambulatory Health Care Facilities | |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Digestive Healthcare Consultants of NW Ohio | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174779268 | Promedica Gi Physicians, LLC | Internal Medicine | 5855 Monroe St, Sylvania, OH 43560-2269 | 2008-08-08 |
| Street Address |
3439 GRANITE CIR |
| City | TOLEDO |
| State | OH |
| Zip Code | 43617-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843758 | Mark D Gretsinger | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-03 |
| 1538514674 | Toledo Vascular Access Center LLC | Internal Medicine | 3439 Granite Cir, Suite 200, Toledo, OH 43617-1161 | 2016-04-26 |
| 1265792477 | Tasha M Kim | Physician Assistant | 3439 Granite Cir, Toledo, OH 43617-1161 | 2012-05-22 |
| 1871822437 | Gail B Wood | Nurse Practitioner | 3439 Granite Cir, Toledo, OH 43617-1161 | 2009-12-10 |
| 1275768749 | Ahmad Malas | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2009-05-27 |
| 1710088471 | Muhannad Heif | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2006-09-26 |
| 1154318293 | Endoscopy Center Inc | Clinic/Center | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-04 |
| 1275520306 | Digestive Healthcare Consultants of Nw Ohio | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-04 |
| 1356338487 | Kevin K Koffel | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-04 |
| 1235126368 | Gregory R Slee | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541838 | Barbara Futrell | Licensed Practical Nurse | 6629 Central Avenaue, Toledo, OH 43617 | 2020-03-02 |
| 1366917569 | Melissa Malinowski | Counselor | 7540 New West Road, Toledo, OH 43617 | 2018-10-04 |
| 1144716226 | Jessica Torres-garcia | Counselor | 7410 Port Sylvania Dr., Toledo, OH 43617 | 2018-07-02 |
| 1326538703 | Toledo Clinic Incorporated | Clinic/Center | 3330 Meijer Drive, Ste 2, Toledo, OH 43617 | 2018-05-11 |
| 1629570411 | Amy Marie Burgess | Case Manager/Care Coordinator | 6055 W. Central Ave., Toledo, OH 43617 | 2018-03-07 |
| 1760984231 | Stacey Lynn Mclaughlin | Counselor | 6629 Central Avenue, Toledo, OH 43617 | 2018-03-01 |
| 1801396601 | Anne Grady Coporation | Intermediate Care Facility, Mentally Retarded | 3216 Zone Avenue, Toledo, OH 43617 | 2018-02-19 |
| 1982111084 | Synergy Primary Care and Wellness LLC | Internal Medicine | 3230 Central Park W Ste 112, Toledo, OH 43617 | 2018-01-10 |
| 1316483381 | Amy R Mossing | Registered Nurse | 2770 Centennial Rd Bldg 7, Toledo, OH 43617 | 2017-01-13 |
| 1841674736 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2550 King Road, Toledo, OH 43617 | 2015-07-10 |
| Find all providers in zip 43617 | ||||
| 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 |
|---|---|---|---|---|
| 1407843758 | Mark D Gretsinger | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-03 |
| 1497196992 | Yaseen S Y Alastal | Internal Medicine | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2013-07-12 |
| 1750584991 | Scott Andrew Corman | Internal Medicine | 4841 Monroe St, Suite 110, Toledo, OH 43623-4385 | 2007-06-06 |
| 1265500789 | Osama H. Alaradi | Internal Medicine | 3120 Glendale Ave, University of Toledo Physicians, LLC, Toledo, OH 43614-5811 | 2006-12-01 |
| 1710088471 | Muhannad Heif | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2006-09-26 |
| 1407955008 | David Zack | Internal Medicine | 4841 Monroe St, Suite 110, Toledo, OH 43623-4385 | 2006-09-21 |
| 1306945084 | Nwo Gastroenterology Associates Inc. | Internal Medicine | 4841 Monroe St, Suite 110, Toledo, OH 43623-4385 | 2006-09-21 |
| 1780783316 | Patricia Oster | Internal Medicine | 4841 Monroe St, Suite 110, Toledo, OH 43623-4385 | 2006-09-21 |
| 1669571352 | Peter Reilly | Internal Medicine | 4841 Monroe St, Suite 110, Toledo, OH 43623-4385 | 2006-09-21 |
| 1437110442 | Michael Pappas | Internal Medicine | 4841 Monroe St, Suite 110, Toledo, OH 43623-4385 | 2006-03-29 |
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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.