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Clinical Gastroenterology INC

Internal Medicine, Gastroenterology in Canton, OH. Organization (NPI-2).

NPI number1376569293
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1376569293
Entity type
Organization (NPI-2)
Legal business name
Clinical Gastroenterology INC
Organization subpart
No
Enumeration date
Jul 14, 2006
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes

Practice location

3722 Dressler Rd Nw
Canton, OH 44718

Phone 330-479-9000 · Fax 330-477-5805

Mailing address

3722 Dressler Rd Nw
Canton, OH 44718

Phone 330-479-9000 · Fax 330-477-5805

Authorized official

Richard Kirk Elliott
President
3304799000

Is something wrong?

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Other Gastroenterology Physician providers in Canton, OH

All 21 Gastroenterology Physician providers in Canton · All 7,232 providers in Canton

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