Organization Active NPI

Gastro-Intestinal Associates, Inc

  • Gastroenterology Physician
  • Van Wert, OH
National Provider Identifier
1326082470
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTRO-INTESTINAL ASSOCIATES, INC
Practice address
140 Fox Run Road
Suite 105
Van Wert, OH 45891
Phone
(419) 227-8209
NPI assigned
Jun 16, 2006
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
GASTRO INTESTINAL ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mr. Robert L Neidich, M.D.NPI 1568433910
Title
President
Phone
(419) 227-8209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

140 Fox Run Road
Suite 105
Van Wert, OH 45891

Mailing address

2793 Shawnee Rd
Suite 450
Lima, OH 45806-1444
Phone (419) 227-8209

National Provider Directory

National Provider Directory
Part of
Gastro Intestinal Assoc

Locations

2793 Shawnee Rd
Ste 450
Lima, OH 45806

140 Fox Rd
Ste 105
Van Wert, OH 45891
Phone (419) 228-7275

Practitioners & affiliated clinicians

Practitioners 1

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": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1326082470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 SHAWNEE RD",
            "address_2": "SUITE 450",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061444",
            "telephone_number": "419-227-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FOX RUN ROAD",
            "address_2": "SUITE 105",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "45891",
            "telephone_number": "419-227-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO-INTESTINAL ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTRO INTESTINAL ASSOCIATES INC",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "NEIDICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-227-8209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.