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Gsi Canton LLC

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

NPI number1639617608
StatusActive
Last updated in NPPESFeb 9, 2017

Details

NPI
1639617608
Entity type
Organization (NPI-2)
Legal business name
Gsi Canton LLC
Organization subpart
No
Enumeration date
Feb 9, 2017
Last updated
Feb 9, 2017

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

2726 Fulton Dr Nw
Canton, OH 44718-3506

Phone 330-455-5011

Mailing address

401 Commerce St
Suite 600
Nashville, TN 37219-2446

Authorized official

Dale W Polley
Director
6153456900

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Gastroenterology Physician providers in Canton, OH

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