Active NPI
Gastro Intestinal Associates, Inc
- Gastroenterology Physician
- Bluffton, OH
National Provider Identifier
1588919906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTRO INTESTINAL ASSOCIATES, INC
- Practice address
- 139 Garau St
Bluffton, OH 45817-1027 - Phone
- (419) 227-8209
- Fax
- (419) 222-6007
- NPI assigned
- Jul 23, 2012
- Last updated
- Jul 23, 2012
- Organization subpart
- Yes
- Parent organization
- GASTRO INTESTINAL ASSOCIATES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert L Neidich, M.D.
- Title
- Medical Director
- Phone
- (419) 227-8209
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NU | Primary |
Addresses
Primary practice location
139 Garau St
Bluffton, OH 45817-1027
Mailing address
2793 Shawnee Rd
Lima, OH 45806-1444
Phone (419) 227-8209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361326 | Medicaid | OH |
National Provider Directory
National Provider Directory- Part of
- Gastro Intestinal Assoc
Locations
139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Lima, OH
- NPI 1568433910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343001600000",
"number": "1588919906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2793 SHAWNEE RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458061444",
"telephone_number": "419-227-8209",
"fax_number": "419-222-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 GARAU ST",
"city": "BLUFFTON",
"state": "OH",
"postal_code": "458171027",
"telephone_number": "419-227-8209",
"fax_number": "419-222-6007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTRO INTESTINAL ASSOCIATES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GASTRO INTESTINAL ASSOCIATES, INC",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A",
"authorized_official_last_name": "NEIDICH",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "419-227-8209",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361326",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.