Center for Digestive Health Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CENTER FOR DIGESTIVE HEALTH INC

Practice address

34940 Ridge Rd
Ste B
Willoughby, OH 44094-4196

Phone

(440) 953-1899

Fax

(440) 953-9281

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Neil A Jacobson, MD

Title

President

Phone

(440) 953-1899

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1932184165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34940 RIDGE RD",
            "address_2": "STE B",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944196",
            "telephone_number": "440-953-1899",
            "fax_number": "440-953-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34940 RIDGE RD",
            "address_2": "STE B",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944196",
            "telephone_number": "440-953-1899",
            "fax_number": "440-953-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DIGESTIVE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-953-1899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055341",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2156563",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056368",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056448",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MED",
            "identifier": "CA2499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniella N Cassese, QMHS
• Gabrielle Castellanos, LMT
• Gail Marie Castrilla
• Carly Catalanello
• Center for 1 on 1 Therapy and Wellness
• Center for Spinecare and Natural Medicine, LLC.
• Emilee Ann Chadwick, LMT
• Noel Christina Chadwick
• Christina Maria Chandler, REGISTERED NURSE
• Steven Chandler, QMHS

• Gastroenterology Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.