Active NPI
Digestive Disease Center of Ohio Valley, Inc
- Specialist
- Saint Clairsville, OH
National Provider Identifier
1467513804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01545
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanjay Chaudhry, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810006280 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Wheeling, WV
- NPI 1063583888
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.