Active NPI
Gastroenterology Assoc of SE Ohio, Inc.
- Specialist
- Zanesville, OH
National Provider Identifier
1376650028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OH | ||
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0962365 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.