Gastro Care, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GASTRO CARE, LLC

Practice address

2355 Derr Rd
Springfield, OH 45503-2433

Phone

(937) 629-0100

Fax

(937) 629-3285

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

Challa Ajit, M.D.NPI 1598778805

Title

Physician

Phone

(937) 629-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Gastro Care LLCCCN 36C0001257

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Challa Ajit, MD

  • Gastroenterology Physician
  • Springfield, OH
  • NPI 1598778805
  NPD Authorized official

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1740424944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 DERR RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032433",
            "telephone_number": "937-629-0100",
            "fax_number": "937-629-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DERR RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032433",
            "telephone_number": "937-629-0100",
            "fax_number": "937-629-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "AJIT",
        "authorized_official_first_name": "CHALLA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-629-0100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha B Gargom, MD
• Andrew Garrett
• William A Garringer, M.D.
• Lisa Gary-Parker
• Reginald Gast, PHARMD
• Melissa Gaul, RPH
• Kayla Gaunt
• Renia Nicole Gavin
• Kimberly Gaynor
• Elizabeth Madonna Gearin, MS, RD, LD

• Ambulatory Surgical Clinic/Center in Springfield, OH
• Providers in Springfield, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.

Verify at the official NPI Registry.