Karl Dehaan, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

AD6714732 Issued in OH

Practice address

1 Infinity Corporate Centre Dr
Suite 130
Garfield Heights, OH 44125-5369

Phone

(216) 663-7064

Fax

(216) 663-8286

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Shore Gastroenterology, Inc.

  • Gastroenterology Physician
  • Westlake, OH
  • NPI 1932121050
  NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1982622338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INFINITY CORPORATE CENTRE DR",
            "address_2": "SUITE 130",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255369",
            "telephone_number": "216-663-7064",
            "fax_number": "216-663-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INFINITY CORPORATE CENTRE DR",
            "address_2": "SUITE 130",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255369",
            "telephone_number": "216-663-7064",
            "fax_number": "216-663-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAAN",
        "first_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "AD6714732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0366803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayem Health Services LLC
• Michael Dayem, M.D.
• Zechariah Frederick De Silva, PHARMD
• Cari Kristina Dean, PT,DPT
• Denise M. Degi, CNP
• Patrick Robert Dennison, D.O.
• Diabetes and Endocrine Center of Cleveland Inc
• Jose Diaz, FNP-BC
• Lisa Dicristofaro, M.D.
• Sofiya Didyuk, RPH. PHARMD

• Gastroenterology Physician in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.