NPIMap

Individual provider Active NPI

Jorge Tan Go, M.D.

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1538366729
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35132137 Issued in OH
Practice address
2925 Vernon PL Ste 100
Cincinnati, OH 45219-2425
Phone
(513) 751-6667
Fax
(513) 872-4553
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37291 IA
Gastroenterology Physician 207RG0100X 37291 IA
Hospitalist Physician 208M00000X 37291 IA
Gastroenterology Physician 207RG0100X 35132137 OH Primary

Addresses

Primary practice location

2925 Vernon PL Ste 100
Cincinnati, OH 45219-2425

Mailing address

2925 Vernon PL Ste 100
Cincinnati, OH 45219-2425
Phone (513) 751-6667

Other identifiers 4

IdentifierTypeStateIssuer
71701OtherIAWELLMARK BLUE SHIELD
P00433925OtherIARAILROAD MEDICARE
71305OtherIAWELLMARK BCBS
70633OtherIAWELLMARK BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jorge.go@gastrohealth.eclinicaldirectplus.com GCGA Physicians Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207002354 OH Practitioner - Gastroenterology 0143313056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

2925 Vernon PL
Suite 100
Cincinnati, OH 45219-2425
Phone (513) 751-6667

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35132137OHMDGastroenterology Physician
37291IAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gcga Physicians Inc. Gastroenterology CurrentSince Mar 1, 2018 Accepting new patients
Blue Ash Endoscopy Center, LLC Past Accepting new patients
Liberty Endoscopy Center Past Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

11333 Cornell Park Dr
Ste 200
Blue Ash, OH 45242

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

2990 Mack Rd
Ste 107
Fairfield, OH 45014
Phone (513) 860-4801

7372 Liberty One Dr
Liberty Township, OH 45044
Phone (513) 569-1355

Interoperability endpoints

  • Direct secure messaging: jorge.go@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1538366729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "JORGE",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "37291",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "37291",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "37291",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35132137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE SHIELD",
            "identifier": "71701",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00433925",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "71305",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE SHIELD",
            "identifier": "70633",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jorge.go@gastrohealth.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "eCW Direct messaging Address",
            "affiliationName": "GCGA Physicians Inc.",
            "address_1": "2925 Vernon Pl",
            "address_2": "Suite 100",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.