Organization Active NPI

Summit Gastroenterology Associates, Inc.

  • Gastroenterology Physician
  • Norton, OH
National Provider Identifier
1891894291
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SUMMIT GASTROENTEROLOGY ASSOCIATES, INC.
Practice address
3939 S Cleveland Massillon Rd
Norton, OH 44203-5611
Phone
(330) 753-6643
Fax
(330) 753-3465
NPI assigned
Sep 22, 2006
Last updated
Aug 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Jessica Schaefer
Title
Credentialing
Phone
(330) 753-6643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3939 S Cleveland Massillon Rd
Norton, OH 44203-5611

Mailing address

3939 S Cleveland Massillon Rd
Norton, OH 44203-5611
Phone (330) 753-6643

Other identifiers 1

IdentifierTypeStateIssuer
0981219MedicaidOH

National Provider Directory

National Provider Directory

Locations

201 5th St NE
Ste 2
Barberton, OH 44203
Phone (330) 475-1616

Practitioners & affiliated clinicians

Practitioners 3

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1891894291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 S CLEVELAND MASSILLON RD",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442035611",
            "telephone_number": "330-753-6643",
            "fax_number": "330-753-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 S CLEVELAND MASSILLON RD",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442035611",
            "telephone_number": "330-753-6643",
            "fax_number": "330-753-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT GASTROENTEROLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "330-753-6643"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0981219",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.