Active NPI
North Coast Gastroenterology, Inc
- Specialist
- Elyria, OH
National Provider Identifier
1689793655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NORTH COAST GASTROENTEROLOGY, INC
- Practice address
- 125 E Broad St Ste 114
Elyria, OH 44035-6429 - Phone
- (440) 329-5943
- NPI assigned
- Mar 28, 2007
- 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
- James E Lisi, M.D.
- Title
- President
- Phone
- (440) 329-5943
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OH | Primary |
Addresses
Primary practice location
125 E Broad St Ste 114
Elyria, OH 44035-6429
Mailing address
125 E Broad St Ste 114
Elyria, OH 44035-6429
Phone (440) 329-5943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0757972 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
125 E Broad St
Ste 114
Elyria, OH 44035
Phone (440) 329-5943
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Akron, OH
- NPI 1689634057
-
- Anatomic Pathology & Clinical Pathology Physician
- Cleveland, OH
- NPI 1306948047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185494400000",
"number": "1689793655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E BROAD ST STE 114",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356429",
"telephone_number": "440-329-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E BROAD ST STE 114",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356429",
"telephone_number": "440-329-5943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COAST GASTROENTEROLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-27",
"status": "A",
"authorized_official_last_name": "LISI",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-329-5943",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0757972",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.