Advanced Hemorrhoid Specialists, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35083362G Issued in OH

Legal business name

ADVANCED HEMORRHOID SPECIALISTS, INC.

Practice address

25200 Chagrin Blvd Ste 109
Beachwood, OH 44122-5681

Phone

(216) 772-4653

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

David Gutman, MDNPI 1396713749

Title

Owner

Phone

(216) 272-5751

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Cleveland Nutrition, LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1508485202

  Member Of

  NPD member

Locations

Practitioners 2

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

• David Gutman, M.D.

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1396713749
  Medicare reassignment NPD Authorized official
• Rachel Laymon, RD, LD

  • Registered Dietitian
  • Beachwood, OH
  • NPI 1871840090
  NPD

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1619035532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 BEACHWOOD BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221474",
            "telephone_number": "216-272-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 CHAGRIN BLVD STE 109",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225681",
            "telephone_number": "216-772-4653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 W Market St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443334210",
            "country_code": "US",
            "telephone_number": "216-772-4653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED HEMORRHOID SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "GUTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-272-5751",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35083362G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.