Westside Gastroenterologists, Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

WESTSIDE GASTROENTEROLOGISTS, INC.

Practice address

7255 Old Oak Blvd
Suite C412
Middleburg Heights, OH 44130-3329

Phone

(440) 816-4546

Fax

(440) 816-4549

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer L Lawrence, CPC

Title

Patient Account Manager

Phone

(440) 816-4547

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark L Modic, MD

  • Gastroenterology Physician
  • Middleburg Heights, OH
  • NPI 1336148022
  NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285767673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD",
            "address_2": "SUITE C412",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303329",
            "telephone_number": "440-816-4546",
            "fax_number": "440-816-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD",
            "address_2": "SUITE C412",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303329",
            "telephone_number": "440-816-4546",
            "fax_number": "440-816-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE GASTROENTEROLOGISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "440-816-4547",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211485",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Weitzel, DPT
• Jaclyn L Welder, LPC-CR
• Celeste Wellman
• Todd Samuel Welsh, MD
• Westshore Primary Care Assoc., Inc.
• Tia Weybrecht
• Pavielle Chebenz White
• Robert Brent Wilder
• Shatesha Wilder
• John Wilhelm, MD

• Gastroenterology Physician in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.