| Digestive Associates Of Ohio | |
|
700 E Broad St Second Floor Columbus OH 43215-3946 | |
| (614) 458-1183 | |
| (614) 458-1184 |
| Full Name | Digestive Associates Of Ohio |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 E Broad St, Columbus, Ohio |
| Authorized Official Name and Position | John Tzagournis (MANAGING MEMBER) |
| Authorized Official Contact | 6144581183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Associates Of Ohio 700 E Broad St Second Floor Columbus OH 43215-3946 Ph: (614) 458-1183 | Digestive Associates Of Ohio 700 E Broad St Second Floor Columbus OH 43215-3946 Ph: (614) 458-1183 |
| NPI Number | 1528383346 |
|---|---|
| Provider Enumeration Date | 04/05/2010 |
| Last Update Date | 08/06/2014 |
| Medicare PECOS PAC ID | 3173651510 |
|---|---|
| Medicare Enrollment ID | O20100506000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528383346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Tasos Manokas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558315382 PECOS PAC ID: 7911991591 Enrollment ID: I20040414001507 |
| Provider Name | Adam C Tzagournis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003863440 PECOS PAC ID: 3779578364 Enrollment ID: I20040414001631 |
| Provider Name | Gordon Youngjin Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144260076 PECOS PAC ID: 1850375536 Enrollment ID: I20040618000143 |
| Provider Name | Michael Andrew Tzagournis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639121106 PECOS PAC ID: 4183690217 Enrollment ID: I20040909000313 |
| Provider Name | John Paul Tzagournis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508818998 PECOS PAC ID: 1153339817 Enrollment ID: I20060323000005 |
| Provider Name | Patti Timlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699107821 PECOS PAC ID: 0648404756 Enrollment ID: I20131003000183 |
| Provider Name | Tiffani Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255679171 PECOS PAC ID: 3476862202 Enrollment ID: I20151019001419 |
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