| Gastroenterology Of West Central Ohio, Inc. | |
|
375 N Eastown Rd Lima OH 45807-2214 | |
| (419) 228-3500 | |
| (419) 228-6700 |
| Full Name | Gastroenterology Of West Central Ohio, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 375 N Eastown Rd, Lima, Ohio |
| Authorized Official Name and Position | Abdulla Taja (OWNER PRESIDENT) |
| Authorized Official Contact | 4192283500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Of West Central Ohio, Inc. 375 N Eastown Rd Lima OH 45807-2214 Ph: (419) 228-3500 | Gastroenterology Of West Central Ohio, Inc. 375 N Eastown Rd Lima OH 45807-2214 Ph: (419) 228-3500 |
| NPI Number | 1134292584 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 07/26/2013 |
| Medicare PECOS PAC ID | 5496857336 |
|---|---|
| Medicare Enrollment ID | O20090416000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134292584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Ohio) | Primary |
| Provider Name | Abdulla Taja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811954142 PECOS PAC ID: 2163402108 Enrollment ID: I20040721001107 |
| Provider Name | Brenda Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417929662 PECOS PAC ID: 3173559499 Enrollment ID: I20050708000633 |
| Provider Name | Noufal Jajeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396140604 PECOS PAC ID: 9537487426 Enrollment ID: I20150403000523 |
| Provider Name | Sheri Lynn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427413228 PECOS PAC ID: 5991007957 Enrollment ID: I20160107001289 |
| Provider Name | Dawn M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669126736 PECOS PAC ID: 0244624344 Enrollment ID: I20220307002298 |
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