DIGESTIVE DISEASE CONSULTANTS OF MEDINA, INC (NPI# 1629284336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629284336 |
| Entity Type | Organization |
| Organization Name | DIGESTIVE DISEASE CONSULTANTS OF MEDINA, INC |
| Practice Address |
1299 Industrial Pkwy N Suite 110 Brunswick OH 44212-6367 |
| Practice Telephone | 3302256468 |
| Practice Fax Number | 3302256534 |
| Mailing Telephone | 3302256468 |
| Mailing Fax Number | 3302256534 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | DR. BIPIN KUMAR SHARMA (PRESIDENT) |
| Authorized Official Telephone | 3302256468 |
| 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 | 2551831 | 05 |
| Street Address |
1299 INDUSTRIAL PKWY N SUITE 110 |
| City | BRUNSWICK |
| State | OH |
| Zip Code | 44212-6367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972988962 | Colleen Michele Driscoll | Nurse Practitioner | 1299 Industrial Pkwy N, Suite 110, Brunswick, OH 44212-6367 | 2015-07-20 |
| 1366844342 | Tracy Marie Salazar | Nurse Practitioner | 1299 Industrial Pkwy N, Brunswick, OH 44212-6367 | 2014-09-21 |
| 1295015550 | Alicia Emily Woo-clark | Registered Nurse | 1299 Industrial Pkwy N, Suite 110, Brunswick, OH 44212-6367 | 2011-08-18 |
| 1265737530 | Andrea Marie Von Der Vellen | Nurse Practitioner | 1299 Industrial Pkwy N, Suite 110, Brunswick, OH 44212-4316 | 2011-01-18 |
| 1245548833 | Pinnacle Pathology | Clinical Medical Laboratory | 1299 Industrial Pkwy N, Suite 210, Brunswick, OH 44212-4316 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184100828 | Maya L Cortes | Counselor | 1839 Pearl Rd Ste 103, Brunswick, OH 44212 | 2018-07-16 |
| 1306331293 | Sanamkaiser, Inc | Dentist | 3864 Center Road, Brunswick, OH 44212 | 2018-06-25 |
| 1548780802 | Brunswick Health & Rehabilitation Center, Inc. | Skilled Nursing Facility | 4355 Laurel Rd, Brunswick, OH 44212 | 2017-06-27 |
| 1265989768 | Shannon Hearns | Specialist/Technologist | 2034 Coventry Drive, Brunswick, OH 44212 | 2016-09-01 |
| 1770972127 | Sapan Haribhakti | Pharmacist | 736 Jeanette Street, Brunswick, OH 44212 | 2015-01-22 |
| 1487931473 | Tiffany Lester | Occupational Therapist | 3225 Pinecrest, Brunswick, OH 44212 | 2011-11-04 |
| 1306153176 | Heather Kurtz | Skilled Nursing Facility | 1229 Roundtable Court, Brunswick, OH 44212 | 2010-09-01 |
| 1609033299 | Paul Lawrence Bushi | Dentist | 3725 Center Road, Brunswick, OH 44212 | 2008-05-21 |
| 1326247941 | Janet Nicol Husser | Chiropractor | 4036 Center Road, Suite A, Brunswick, OH 44212 | 2007-07-13 |
| 1518162197 | Peter M Mazzeo | Dentist | 1026 Pearl Road, Suites 1 & 2, Brunswick, OH 44212 | 2007-06-15 |
| Find all providers in zip 44212 | ||||
| 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 |
|---|---|---|---|---|
| 1770791204 | Maya Merheb | Internal Medicine | 1299 Industrial Pkwy N Ste 110, Brunswick, OH 44212-6366 | 2007-05-18 |
| 1780618660 | David B Myers | Internal Medicine | 1299 Industrial Parkway North, Brunswick, OH 44212 | 2006-07-10 |
| 1962403766 | David C Whitehead | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2005-08-03 |
| 1730221409 | Digestive Associates, Inc. | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2007-02-12 |
| 1245248970 | Brunswick Gastroenterology Associates | Internal Medicine | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2006-08-05 |
| 1134144058 | Richard Beveridge | Internal Medicine | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2006-07-12 |
| 1821022708 | Fadi N. Bashour | Internal Medicine | 1299 Industrial Parkway North, Brunswick, OH 44212 | 2006-07-10 |
| 1043267396 | Miguel R Arguedas - Brollo | Internal Medicine | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2006-05-30 |
| 1093765372 | Gary Zartarian | Internal Medicine | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2006-05-10 |
| 1548255920 | Huitt Everett Mattox IIi | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2005-09-13 |
| Find all providers in BRUNSWICK | ||||
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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.