NPIMap

Organization Active NPI

Southern Ohio Gastroenterology Inc

  • Gastroenterology Physician
  • Wheelersburg, OH
National Provider Identifier
1669481016
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34008464 Issued in OH
Legal business name
SOUTHERN OHIO GASTROENTEROLOGY INC
Practice address
8101 Hayport Rd
Wheelersburg, OH 45694-1769
Phone
(740) 355-8562
Fax
(740) 355-7149
NPI assigned
Aug 5, 2006
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Dr. Reshma Banerjee-Kataria, DONPI 1053416305
Title
Owner
Phone
(740) 355-8562

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 34008464 OH Primary

Addresses

Primary practice location

8101 Hayport Rd
Wheelersburg, OH 45694-1769

Mailing address

PO Box 428
Wheelersburg, OH 45694-0428
Phone (740) 355-8562

Other identifiers 1

IdentifierTypeStateIssuer
2548881MedicaidOH

National Provider Directory

National Provider Directory

Locations

1735 27th St
#C
Portsmouth, OH 45662
Phone (740) 355-8562

8101 Hayport Rd
Wheelersburg, OH 45694
Phone (740) 355-8262

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1669481016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456940428",
            "telephone_number": "740-355-8562",
            "fax_number": "740-355-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HAYPORT RD",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941769",
            "telephone_number": "740-355-8562",
            "fax_number": "740-355-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO GASTROENTEROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "BANERJEE-KATARIA",
        "authorized_official_first_name": "RESHMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-355-8562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "34008464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2548881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheelersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.