Organization Active NPI

Associates in Gastroenterology and Hepatology, Inc.

  • Gastroenterology Physician
  • Columbus, OH
National Provider Identifier
1356420988
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ASSOCIATES IN GASTROENTEROLOGY AND HEPATOLOGY, INC.
Practice address
4930 W Broad St Ste 4
Columbus, OH 43228-1696
Phone
(614) 870-1234
Fax
(614) 870-3199
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Mrs. Anne Schouppe
Title
Business Manager
Phone
(614) 870-1234

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary
Hepatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0008X

Addresses

Primary practice location

4930 W Broad St Ste 4
Columbus, OH 43228-1696

Mailing address

PO Box 12626
Columbus, OH 43212-0626
Phone (614) 870-1234

Other identifiers 2

IdentifierTypeStateIssuer
2060111MedicaidOH
2064046MedicaidOH

National Provider Directory

National Provider Directory

Locations

210 Sharon Rd
Ste 3
Circleville, OH 43113
Phone (614) 870-1234

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1356420988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12626",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432120626",
            "telephone_number": "614-870-1234",
            "fax_number": "614-870-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 W BROAD ST STE 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281696",
            "telephone_number": "614-870-1234",
            "fax_number": "614-870-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN GASTROENTEROLOGY AND HEPATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "SCHOUPPE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "614-870-1234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2060111",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064046",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.