Active NPI
Northwest Ohio Gastroenterology Associates Inc.
- Gastroenterology Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- NORTHWEST OHIO GASTROENTEROLOGY ASSOCIATES INC.
- Practice address
- 4841 Monroe St
Suite 110
Toledo, OH 43623-4385 - Phone
- (419) 471-1317
- Fax
- (419) 471-1316
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Zack
- Title
- D.O.
- Phone
- (419) 471-1350
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | OH | Primary |
Addresses
Primary practice location
4841 Monroe St
Suite 110
Toledo, OH 43623-4385
Mailing address
4841 Monroe St
Suite 110
Toledo, OH 43623-4385
Phone (419) 471-1317
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0125313 | Medicaid | OH | |
| CA4246 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2043070 | Northwest Ohio Gastroenterology | Compliance | Jun 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422
4841 Monroe St
Ste 1
Toledo, OH 43623
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCDCBA
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Gastroenterology Physician
- Toledo, OH
- NPI 1407955008
-
- Gastroenterology Physician
- Toledo, OH
- NPI 1750584991
-
- Adult Health Nurse Practitioner
- Toledo, OH
- NPI 1457649089
-
- Gastroenterology Physician
- Toledo, OH
- NPI 1437110442
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1245290105
-
- Family Nurse Practitioner
- Toledo, OH
- NPI 1770959223
-
- Gastroenterology Physician
- Toledo, OH
- NPI 1992718514
-
- Family Nurse Practitioner
- Toledo, OH
- NPI 1366828048
-
- Gastroenterology Physician
- Tiffin, OH
- NPI 1841399441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1306945084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4841 MONROE ST",
"address_2": "SUITE 110",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234385",
"telephone_number": "419-471-1317",
"fax_number": "419-471-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4841 MONROE ST",
"address_2": "SUITE 110",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234385",
"telephone_number": "419-471-1317",
"fax_number": "419-471-1316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST OHIO GASTROENTEROLOGY ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2022-07-21",
"certification_date": "2021-09-28",
"status": "A",
"authorized_official_last_name": "ZACK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "D.O.",
"authorized_official_telephone_number": "419-471-1350",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125313",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA4246",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
- Northwest Ohio Cardiology Consultants- PC
- Northwest Ohio Christian Counseling, LTD
- Northwest Ohio Developmental Center
- Northwest Ohio Emergency Services, Inc.
- Northwest Ohio Eyecare, Inc.
- Northwest Ohio Imaging
- Northwest Ohio Medicine, Inc
- Northwest Ohio Mobility and Access Inc (Next Day Access)
- Northwest Ohio Neonatal Associates, Inc.
- Northwest Ohio Neonatal Associates, Inc.
Sources for this page
- 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.
- 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.