Active NPI
Mid Valley Gastroenterology Associates, Inc.
- Specialist
- Middletown, OH
National Provider Identifier
1679637292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MID VALLEY GASTROENTEROLOGY ASSOCIATES, INC.
- Practice address
- 255 N Breiel Blvd
Middletown, OH 45042-3807 - Phone
- (513) 422-5915
- Fax
- (513) 422-5101
- NPI assigned
- Dec 20, 2006
- 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
- Bonnie Renee Smith
- Title
- Office Manager
- Phone
- (513) 422-5915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
255 N Breiel Blvd
Middletown, OH 45042-3807
Mailing address
255 N Breiel Blvd
Middletown, OH 45042-3807
Phone (513) 422-5915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1002798 | Mid-Valley Gastroenterology Associates | Compliance | Jun 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
255 N Breiel Blvd
Middletown, OH 45042
Phone (513) 422-5915
7760 University Dr
#H
West Chester, OH 45069
Phone (513) 422-5915
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Middletown, OH
- NPI 1578541017
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceburg, IN
- NPI 1700868767
OH
-
- Physician Assistant
- Middletown, OH
- NPI 1144010984
-
- Physician Assistant
- Mason, OH
- NPI 1437812500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761782400000",
"number": "1679637292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 N BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423807",
"telephone_number": "513-422-5915",
"fax_number": "513-422-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 N BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423807",
"telephone_number": "513-422-5915",
"fax_number": "513-422-5101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID VALLEY GASTROENTEROLOGY ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BONNIE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "513-422-5915"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.