Gastroenterology and Hepatology of Northwest Ohio Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35125504 Issued in OH

Legal business name

GASTROENTEROLOGY AND HEPATOLOGY OF NORTHWEST OHIO INC

Practice address

915 Michigan St
Suite 202
Sidney, OH 45365-2401

Phone

(419) 228-3500

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Noufal Jajeh, M.D.NPI 1396140604

Title

Owner

Phone

(419) 228-3500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Noufal Jajeh

  • Gastroenterology Physician
  • Sidney, OH
  • NPI 1396140604
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1619428778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1448",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458021448",
            "telephone_number": "419-228-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "address_2": "SUITE 202",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "419-228-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND HEPATOLOGY OF NORTHWEST OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "JAJEH",
        "authorized_official_first_name": "NOUFAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-228-3500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35125504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Gabbard
• Kourtney Chantelle Gallimore
• Dorothy Gariety, CNP
• Amanda Garrett
• Summer Garrett
• Krystal A Gates, AT
• Kristin Gehret
• James H Geiger, LPCC-S
• Janice Geise, SWA
• Chandulal D Ghodasara, MD

• Gastroenterology Physician in Sidney, OH
• Providers in Sidney, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.