Gastroenterology of Canton Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35046973 Issued in OH

Legal business name

GASTROENTEROLOGY OF CANTON INC

Doing business as

GOC Inc

Practice address

4124 Munson St NW
Suite a
Canton, OH 44718-2979

Phone

(330) 492-6662

Fax

(330) 492-6918

NPI assigned

Jan 16, 2007

Last updated

Aug 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shari Townsend

Title

Office Manager

Phone

(330) 492-6662

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• GOC Inc Doing business as

Locations

Practitioners 2

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.

• Susan Marie Quirk, PA-C

  • Physician Assistant
  • Elkin, NC
  • NPI 1255388930
  NPD (past)
• Xujun Wu, MD

  • Gastroenterology Physician
  • Joplin, MO
  • NPI 1235117425
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1124179171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 MUNSON ST NW",
            "address_2": "SUITE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182979",
            "telephone_number": "330-492-6662",
            "fax_number": "330-492-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 MUNSON ST NW",
            "address_2": "SUITE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182979",
            "telephone_number": "330-492-6662",
            "fax_number": "330-492-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY OF CANTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-492-6662",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35046973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY",
            "identifier": "735536",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100000769",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000137194",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0559819",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOC Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Paul Gasser, RT(R)
• Brittany Gast, DO
• Gastroenterology Associates Inc
• Gastroenterology Associates Inc
• Gastroenterology of Canton Endoscopy Center Inc (GOC Endoscopy Center)
• Gastroenterology Specialists Inc (Endoscopy Center)
• Gastroenterology Specialists Inc
• Nikolay Gatalyak, D.P.M.
• Julie Ann Gatelaro, DC
• Dana Gates

• Gastroenterology Physician in Canton, OH
• Providers in Canton, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.