Digestive Health & Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0802AS Issued in OH

Legal business name

DIGESTIVE HEALTH & ENDOSCOPY CENTER LLC

Practice address

375 N Eastown Rd
Lima, OH 45807-2214

Phone

(419) 228-3500

Fax

(419) 879-6872

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Abdulla Taja, MDNPI 1811954142

Title

President

Phone

(419) 228-3500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Digestive Health and Endoscopy Center LLCCCN 36C0001217

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Abdulla Taja, MD

  • Gastroenterology Physician
  • Lima, OH
  • NPI 1811954142
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1295847317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N EASTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45807",
            "telephone_number": "419-228-3500",
            "fax_number": "419-879-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N EASTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072214",
            "telephone_number": "419-228-3500",
            "fax_number": "419-879-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH & ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "TAJA",
        "authorized_official_first_name": "ABDULLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-228-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0802AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2721273",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000513356",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Dickman, MOT OTR/L
• Brad William Dietrich Jr., LISW, I.2506324
• Krystal Dawn Dietrich
• Dietz Eye Care & Associates LLC
• Brian E Dietz, O.D.
• Alexis Diglio
• Deanna Dill, BA
• Erica Danae Diller
• Maya Diller
• Tiffany Renee' Diller

• Ambulatory Surgical Clinic/Center in Lima, OH
• Providers in Lima, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.