Organization Active NPI

Gastroenterology Assoc of SE Ohio, Inc.

  • Specialist
  • Zanesville, OH
National Provider Identifier
1376650028
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GASTROENTEROLOGY ASSOC OF SE OHIO, INC.
Practice address
999 Garden Rd
Zanesville, OH 43701-1330
Phone
(740) 454-8193
Fax
(740) 454-1470
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Victor Szemetylo, M.D.
Title
President
Phone
(740) 454-8193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X OH
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

999 Garden Rd
Zanesville, OH 43701-1330

Mailing address

999 Garden Rd
Zanesville, OH 43701-1330
Phone (740) 454-8193

Other identifiers 1

IdentifierTypeStateIssuer
0962365MedicaidOH

National Provider Directory

National Provider Directory

Locations

1246 Ashland Ave
Ste 105
Zanesville, OH 43701
Phone (614) 454-0804

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1376650028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 GARDEN RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011330",
            "telephone_number": "740-454-8193",
            "fax_number": "740-454-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 GARDEN RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011330",
            "telephone_number": "740-454-8193",
            "fax_number": "740-454-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOC OF SE OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "SZEMETYLO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-454-8193",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0962365",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.