| Digestive Specialists Inc | |
|
4340 Clyo Rd Ste 200 Dayton OH 45459-7000 | |
| (937) 534-7330 | |
| (937) 297-2208 |
| Full Name | Digestive Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4340 Clyo Rd Ste 200, Dayton, Ohio |
| Authorized Official Name and Position | Joan Servis (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9373962602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Specialists Inc 4340 Clyo Rd Ste 200 Dayton OH 45459-7000 Ph: (937) 534-7330 | Digestive Specialists Inc 4340 Clyo Rd Ste 200 Dayton OH 45459-7000 Ph: (937) 534-7330 |
| NPI Number | 1770556532 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 01/14/2020 |
| Medicare PECOS PAC ID | 2062300809 |
|---|---|
| Medicare Enrollment ID | O20040304001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770556532 | NPI | - | NPPES |
| 2248544 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Marios C Pouagare |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487635439 PECOS PAC ID: 4082502836 Enrollment ID: I20040304001171 |
| Provider Name | Urmee Siraj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801891114 PECOS PAC ID: 2668464629 Enrollment ID: I20040331000487 |
| Provider Name | Nagaraja S Oruganti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568462240 PECOS PAC ID: 2062406853 Enrollment ID: I20040414000033 |
| Provider Name | Rajkamal Jit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669453619 PECOS PAC ID: 5496736704 Enrollment ID: I20040525000042 |
| Provider Name | Bikram Verma Ansil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578544524 PECOS PAC ID: 1850372087 Enrollment ID: I20040525000992 |
| Provider Name | Narayan Peddanna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528049582 PECOS PAC ID: 1951382183 Enrollment ID: I20040525001065 |
| Provider Name | Teressa J Patrick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992786222 PECOS PAC ID: 1355239104 Enrollment ID: I20040525001123 |
| Provider Name | Malay K Dey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104807155 PECOS PAC ID: 1355322504 Enrollment ID: I20040525001174 |
| Provider Name | Terry Tomlinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972502805 PECOS PAC ID: 8921062472 Enrollment ID: I20041115001318 |
| Provider Name | Christopher J Barde |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215918263 PECOS PAC ID: 8921042151 Enrollment ID: I20050617000457 |
| Provider Name | Dhananjay Paranjpe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497705230 PECOS PAC ID: 6709869902 Enrollment ID: I20050922000955 |
| Provider Name | Jonathan P Kushner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295791226 PECOS PAC ID: 9931128006 Enrollment ID: I20051117000515 |
| Provider Name | Kingsley Aghaegbunam Ozoude |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609826411 PECOS PAC ID: 6507764842 Enrollment ID: I20051202000042 |
| Provider Name | Jerome Puryear |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255381000 PECOS PAC ID: 7517916943 Enrollment ID: I20060125000479 |
| Provider Name | Sharal Mall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275552952 PECOS PAC ID: 1052377330 Enrollment ID: I20060202000094 |
| Provider Name | Robert Lemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417976192 PECOS PAC ID: 5395701676 Enrollment ID: I20060202000116 |
| Provider Name | Ronald C Chiu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023126265 PECOS PAC ID: 4486659067 Enrollment ID: I20061004000079 |
| Provider Name | Jigna Thakore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750488946 PECOS PAC ID: 3971694340 Enrollment ID: I20070814000756 |
| Provider Name | Rebecca R Balaj |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023001989 PECOS PAC ID: 7113811183 Enrollment ID: I20070827000008 |
| Provider Name | Daniel L Hood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922095819 PECOS PAC ID: 1759275720 Enrollment ID: I20080313000358 |
| Provider Name | Salma Akram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487630901 PECOS PAC ID: 1456336502 Enrollment ID: I20080709000030 |
| Provider Name | Luke Wibowo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861487068 PECOS PAC ID: 0749355840 Enrollment ID: I20080826000026 |
| Provider Name | Richard Mckenzie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134179948 PECOS PAC ID: 3072599950 Enrollment ID: I20090217000090 |
| Provider Name | Kanan Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750402459 PECOS PAC ID: 8426101767 Enrollment ID: I20090804000092 |
| Provider Name | Mustafa N Musleh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437303682 PECOS PAC ID: 3971780339 Enrollment ID: I20110613000097 |
| Provider Name | Allen Lee Stephens |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184890121 PECOS PAC ID: 5092879312 Enrollment ID: I20130315000449 |
| Provider Name | Baojin Fu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205097193 PECOS PAC ID: 0941466577 Enrollment ID: I20130906000834 |
| Provider Name | Jarrod Curry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548595382 PECOS PAC ID: 2466692538 Enrollment ID: I20140617001026 |
| Provider Name | Megan Christine Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760626881 PECOS PAC ID: 8628389970 Enrollment ID: I20150612001961 |
| Provider Name | Tristan E Handler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306059266 PECOS PAC ID: 2163737669 Enrollment ID: I20150929001135 |
| Provider Name | Hongliu Sun |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518213693 PECOS PAC ID: 4688976798 Enrollment ID: I20160714002125 |
| Provider Name | Michael Sherman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972822773 PECOS PAC ID: 7719249200 Enrollment ID: I20181214001229 |
| Provider Name | Sergei Rafael Guma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699186445 PECOS PAC ID: 6406199959 Enrollment ID: I20190523002882 |
| Provider Name | Cassandra M Steimle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265852941 PECOS PAC ID: 6507083235 Enrollment ID: I20200709002321 |
| Provider Name | Michael J Brazeau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518220466 PECOS PAC ID: 4981910296 Enrollment ID: I20210125002997 |
| Provider Name | Hebin Song |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649624222 PECOS PAC ID: 1456760263 Enrollment ID: I20210507000799 |
| Provider Name | Larry Zhao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700012689 PECOS PAC ID: 7416262621 Enrollment ID: I20230620000457 |
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