North Ohio Gastroenterology

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTH OHIO GASTROENTEROLOGY

Practice address

30701 Clemens Road
Westlake, OH 44145

Phone

(440) 617-1212

Fax

(440) 617-1213

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Petra Boesinger

Title

Administrator

Phone

(440) 617-1212

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1891942579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 CLEMENS ROAD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451493",
            "telephone_number": "440-617-1212",
            "fax_number": "440-617-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 CLEMENS ROAD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-617-1212",
            "fax_number": "440-617-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OHIO GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "BOESINGER",
        "authorized_official_first_name": "PETRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-617-1212"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Westlake, OH
• Providers in Westlake, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.