CG Endoscopy Center LTD

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

0665AS Issued in OH

Legal business name

CG ENDOSCOPY CENTER LTD

Practice address

3722 Dressler Rd NW
Canton, OH 44718

Phone

(330) 479-4232

Fax

(330) 477-5805

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Edward T Schirack, DONPI 1326064254

Title

Medical Director

Phone

(330) 479-4232

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Thomas Schirack, DO

  • Gastroenterology Physician
  • Canton, OH
  • NPI 1326064254
  NPD (past) Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1528084431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-479-4232",
            "fax_number": "330-477-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-479-4232",
            "fax_number": "330-477-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG ENDOSCOPY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHIRACK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-479-4232",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "OH",
            "license": "0665AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2321759",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquiline Cephas, RBT
• Leisa C Cephas
• Jeffrey Samuel Cerone, M.D.
• Joelyn H Cervantez
• Brittannie Laine Cestari, OTR/L
• Tiffany Chaboudy, M.A., CCC-SLP
• Kelcie Chadima, PA-C
• Rebecca Chajkowski, LPCC-S
• Asha Chakka
• Marshall L Chalfant, MD

• Endoscopy Clinic/Center in Canton, OH
• Providers in Canton, OH by specialty
• Endoscopy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.