NPIMap

Organization Active NPI

Gastroenterology of Akron, Inc.

  • Gastroenterology Physician
  • Norton, OH
National Provider Identifier
1376732636
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-06-8779 Issued in OH
Legal business name
GASTROENTEROLOGY OF AKRON, INC.
Practice address
3939 S. Cleveland-Massillon Rd
Norton, OH 44203-5611
Phone
(330) 535-3313
Fax
(330) 535-1907
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Manzoor Qadir, M.D.
Title
Owner/Physician
Phone
(330) 535-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 35-06-8779 OH Primary

Addresses

Primary practice location

3939 S. Cleveland-Massillon Rd
Norton, OH 44203-5611

Mailing address

PO Box 713056
Cincinnati, OH 45271
Phone (330) 535-3313

Other identifiers 1

IdentifierTypeStateIssuer
0154265MedicaidOH

National Provider Directory

National Provider Directory

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1376732636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713056",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45271",
            "telephone_number": "330-535-3313",
            "fax_number": "330-535-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 S. CLEVELAND-MASSILLON RD",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442035611",
            "telephone_number": "330-535-3313",
            "fax_number": "330-535-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY OF AKRON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "QADIR",
        "authorized_official_first_name": "MANZOOR",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "330-535-3313",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-06-8779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154265",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.