Organization Active NPI

Digestive Disease Center of Ohio Valley, Inc

  • Specialist
  • Saint Clairsville, OH
National Provider Identifier
1467513804
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01545 Issued in WV
Legal business name
DIGESTIVE DISEASE CENTER OF OHIO VALLEY, INC
Practice address
300 W Main St
Saint Clairsville, OH 43950-8801
Phone
(740) 968-7147
Fax
(740) 968-7144
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Sanjay Chaudhry, M.D.NPI 1013088228
Title
President
Phone
(740) 633-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 01545 WV Primary

Addresses

Primary practice location

300 W Main St
Saint Clairsville, OH 43950-8801

Mailing address

300 W Main St
Saint Clairsville, OH 43950-8801
Phone (740) 968-7147

Other identifiers 1

IdentifierTypeStateIssuer
3810006280MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610001606 WV Part B Supplier - Clinic/Group Practice 1850374703 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Dale, WV; Wheeling, WV

National Provider Directory

National Provider Directory

Locations

92 N 4th St
Ste 7
Martins Ferry, OH 43935
Phone (304) 905-9706

1 Medical Park
#206
Wheeling, WV 26003

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1467513804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508801",
            "telephone_number": "740-968-7147",
            "fax_number": "740-968-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508801",
            "telephone_number": "740-968-7147",
            "fax_number": "740-968-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CENTER OF OHIO VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-633-4447",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "01545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006280",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.