GREAT LAKES GASTROENTEROLOGY RESEARCH (NPI# 1639591019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639591019 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES GASTROENTEROLOGY RESEARCH |
| Practice Address |
9485 Mentor Ave Suite 105 Mentor OH 44060-4597 |
| Practice Telephone | 4402051225 |
| Practice Fax Number | 4402051275 |
| Mailing Telephone | 4402051225 |
| Mailing Fax Number | 4402051275 |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-01-20 |
| Authorized Official Name | LEAH NOWAK (ADMINISTRATIVE COORDINATOR) |
| Authorized Official Telephone | 4402051225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers |
| Street Address |
9485 MENTOR AVE SUITE 105 |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-4597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768855 | Lisa Marie Ward | Ophthalmology | 9485 Mentor Ave, Ste 110, Mentor, OH 44060-8724 | 2005-05-31 |
| 1205292497 | Lynnette Prokop | Physician Assistant | 9485 Mentor Ave, #100, Mentor, OH 44060-4597 | 2016-01-05 |
| 1003287939 | Christina Scott | Nurse Practitioner | 9485 Mentor Ave, Ste 210, Mentor, OH 44060-8723 | 2015-10-19 |
| 1043612393 | Jacqueline Macy Cerar Dds Inc. | Dentist | 9485 Mentor Ave, Suite 112, Mentor, OH 44060-4597 | 2014-09-18 |
| 1760810592 | Oak Tree Clinic Inc | Physical Medicine & Rehabilitation | 9485 Mentor Ave, Suite 214, Mentor, OH 44060-4597 | 2013-10-14 |
| 1164864351 | Lisa Demeter | Social Worker | 9485 Mentor Ave, Suite 3, Mentor, OH 44060-4597 | 2013-07-29 |
| 1851736946 | Lindsay-dawn Hanlon Cooper | Nurse Practitioner | 9485 Mentor Ave, Suite 210, Mentor, OH 44060-4597 | 2013-05-03 |
| 1033479449 | Gina Loshkajian Posluszny | Pediatrics | 9485 Mentor Ave, Ste 101, Mentor, OH 44060-8722 | 2012-05-18 |
| 1194002006 | Adrienne Marie Colabuno | Physician Assistant | 9485 Mentor Ave, Mentor, OH 44060-4597 | 2011-11-05 |
| 1639490469 | Daniel Ryan Silbiger | Internal Medicine | 9485 Mentor Ave, Suite 3, Mentor, OH 44060-4597 | 2010-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1124567466 | Vincent M Monnier | Specialist | 2103 Cornell Road, Cleveland, OH 44106 | 2017-02-20 |
| 1376934489 | Tomeka Kimbrough | Specialist | 3724 Hillman St, Youngstown, OH 44507-2036 | 2015-02-11 |
| 1699103408 | Beth Rigney | Specialist | 5807 Needleleaf Dr, Milford, OH 45150-6550 | 2013-10-15 |
| 1487902557 | Daniel Walter Nebert | Specialist | 20 Oliver Rd, Cincinnati, OH 45215-2631 | 2012-08-21 |
| 1326345638 | Cristina Frentiu | Specialist | 1310 W 64th St, Cleveland, OH 44102-2106 | 2011-02-22 |
| 1760552145 | Pierluigi Gambetti | Specialist | 2085 Adelbert Road Room 419, Case Western Reserve University, Institute of Pathology, Cleveland, OH 44106 | 2006-11-09 |
| 1497299960 | Rami Rabee Meligi Mustafa | Specialist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-12-18 |
| 1245676642 | Radiant Research, Inc. | Specialist | 11500 Northlake Dr, Suite 320, Cincinnati, OH 45249-1650 | 2013-05-13 |
| 1346555380 | Farhan Zafar | Specialist | 3333 Burnet Ave., Ml 2004, Cincinnati, OH 45229 | 2010-08-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GREAT LAKES GASTROENTEROLOGY RESEARCH.
| 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.