Active NPI
Clinical Gastroenterology Inc
- Gastroenterology Physician
- Canton, OH
National Provider Identifier
1376569293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- CLINICAL GASTROENTEROLOGY INC
- Practice address
- 3722 Dressler Rd NW
Canton, OH 44718 - Phone
- (330) 479-9000
- Fax
- (330) 477-5805
- NPI assigned
- Jul 14, 2006
- Last updated
- Aug 22, 2020
- 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
- Richard Kirk Elliott, DO
- Title
- President
- Phone
- (330) 479-9000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
3722 Dressler Rd NW
Canton, OH 44718
Mailing address
3722 Dressler Rd NW
Canton, OH 44718
Phone (330) 479-9000
National Provider Directory
National Provider DirectoryLocations
3722 Dressler Rd NW
Canton, OH 44718
Phone (330) 479-4217
Practitioners & affiliated clinicians
Practitioners 2
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
- Canton, OH
- NPI 1417973348
-
- Gastroenterology Physician
- Canton, OH
- NPI 1326064254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376569293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3722 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "44718",
"telephone_number": "330-479-9000",
"fax_number": "330-477-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3722 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "44718",
"telephone_number": "330-479-9000",
"fax_number": "330-477-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL GASTROENTEROLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "KIRK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-479-9000",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.