Active NPI
Gastroenterology Association of Cleveland, Inc.
- Gastroenterology Physician
- Beachwood, OH
National Provider Identifier
1639178163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROENTEROLOGY ASSOCIATION OF CLEVELAND, INC.
- Practice address
- 3700 Park East Dr
Suite 100
Beachwood, OH 44122-4339 - Phone
- (216) 593-7502
- Fax
- (216) 593-7503
- NPI assigned
- Jul 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James J Andrassy, M.ED,, PA-C
- Title
- Ceo/Administrator
- Phone
- (216) 593-7180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | OH | Primary |
Addresses
Primary practice location
3700 Park East Dr
Suite 100
Beachwood, OH 44122-4339
Mailing address
3700 Park East Dr
Suite 100
Beachwood, OH 44122-4339
Phone (216) 593-7502
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000163694 | Other | OH | ANTHEM BCBS |
| 0552656 | Medicaid | OH | |
| CN0143 | Other | OH | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1639178163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 PARK EAST DR",
"address_2": "SUITE 100",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224339",
"telephone_number": "216-593-7502",
"fax_number": "216-593-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 PARK EAST DR",
"address_2": "SUITE 100",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224339",
"telephone_number": "216-593-7502",
"fax_number": "216-593-7503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY ASSOCIATION OF CLEVELAND, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ANDRASSY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "216-593-7180",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.ED,, PA-C"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000163694",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0552656",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN0143",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.