NPIMap

Organization Active NPI

Ushc Gastro Services, LLC

  • Gastroenterology Physician
  • Chagrin Falls, OH
National Provider Identifier
1033352455
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35062965 Issued in OH
Legal business name
USHC GASTRO SERVICES, LLC
Practice address
8185 E Washington St
Suite 106
Chagrin Falls, OH 44023-4574
Phone
(440) 708-1555
Fax
(440) 708-1515
NPI assigned
Apr 15, 2009
Last updated
Apr 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael K Koehler, MDNPI 1962419234
Title
President
Phone
(440) 708-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35062965 OH Primary

Addresses

Primary practice location

8185 E Washington St
Suite 106
Chagrin Falls, OH 44023-4574

Mailing address

8185 E Washington St
Suite 106
Chagrin Falls, OH 44023-4574
Phone (440) 708-1555

Other identifiers 1

IdentifierTypeStateIssuer
0184812MedicaidOH

National Provider Directory

National Provider Directory

Locations

8185 Washington St
#9312
Chagrin Falls, OH 44023

8185 Washington St
Ste 106
Chagrin Falls, OH 44023

1611 S Green Rd
Ste 120
South Euclid, OH 44121
Phone (440) 708-0582

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1033352455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8185 E WASHINGTON ST",
            "address_2": "SUITE 106",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234574",
            "telephone_number": "440-708-1555",
            "fax_number": "440-708-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8185 E WASHINGTON ST",
            "address_2": "SUITE 106",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234574",
            "telephone_number": "440-708-1555",
            "fax_number": "440-708-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USHC GASTRO SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-708-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35062965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.