| Gastroenterology Specialists Inc | |
|
2726 Fulton Dr Nw Canton OH 44718-3506 | |
| (330) 455-5011 | |
| (330) 588-7127 |
| Full Name | Gastroenterology Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2726 Fulton Dr Nw, Canton, Ohio |
| Authorized Official Name and Position | Michael M Van Ness (PRESIDENT) |
| Authorized Official Contact | 3304555011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Specialists Inc 2726 Fulton Dr Nw Canton OH 44718-3506 Ph: (330) 455-5011 | Gastroenterology Specialists Inc 2726 Fulton Dr Nw Canton OH 44718-3506 Ph: (330) 455-5011 |
| NPI Number | 1831171974 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5991604860 |
|---|---|
| Medicare Enrollment ID | O20060912000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831171974 | NPI | - | NPPES |
| 0975888 | Medicaid | OH | |
| C9333 | Other | OH | MEDICARE RAILROAD |
| 7306060 | Other | OH | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Kenny S Yung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093710055 PECOS PAC ID: 1052381886 Enrollment ID: I20040729000296 |
| Provider Name | Robert Lynn Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033155130 PECOS PAC ID: 8123074143 Enrollment ID: I20050323000593 |
| Provider Name | Karen L Trace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518936095 PECOS PAC ID: 0840274023 Enrollment ID: I20050428000626 |
| Provider Name | Richard Mark Salvino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760487102 PECOS PAC ID: 6608802442 Enrollment ID: I20050712001295 |
| Provider Name | Mary Susan Sander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073503322 PECOS PAC ID: 0648296962 Enrollment ID: I20051017000463 |
| Provider Name | Meredith Louise Macaluso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588753289 PECOS PAC ID: 9335146539 Enrollment ID: I20061101000186 |
| Provider Name | Sanjiv K Khullar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043364656 PECOS PAC ID: 9133290448 Enrollment ID: I20090730000004 |
| Provider Name | Joscelyn L Greaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578866950 PECOS PAC ID: 6204017668 Enrollment ID: I20110218000421 |
| Provider Name | Michael Troy Peoples |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386927739 PECOS PAC ID: 4587838610 Enrollment ID: I20111129000447 |
| Provider Name | Adriene Kubic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104108216 PECOS PAC ID: 6103093315 Enrollment ID: I20120220001046 |
| Provider Name | Kelly C Donatelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437123486 PECOS PAC ID: 3274547823 Enrollment ID: I20120410000084 |
| Provider Name | Colleen Renee Connor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154764389 PECOS PAC ID: 9032358536 Enrollment ID: I20130613000157 |
| Provider Name | Edward J Sveda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528493145 PECOS PAC ID: 3173758471 Enrollment ID: I20131022001114 |
| Provider Name | Jonathan P Congeni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558523563 PECOS PAC ID: 4587803606 Enrollment ID: I20140605001256 |
| Provider Name | Kimberly R Nadzam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356663686 PECOS PAC ID: 5193852333 Enrollment ID: I20150922003176 |
| Provider Name | Rachel L Nicodemo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467824292 PECOS PAC ID: 7719297399 Enrollment ID: I20151111000898 |
| Provider Name | Amareshwar Podugu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972891737 PECOS PAC ID: 1254600430 Enrollment ID: I20170630001894 |
| Provider Name | Alison M Dorsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104308261 PECOS PAC ID: 3678827680 Enrollment ID: I20181109002386 |
| Provider Name | Kathleen Gabrielle Dipietro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558926352 PECOS PAC ID: 1456683044 Enrollment ID: I20191031001629 |
| Provider Name | Sybil L Dundon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467081851 PECOS PAC ID: 6305267642 Enrollment ID: I20200522000600 |
Diabetes & Endocrinology Associates Of Stark County Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4565 Dressler Rd Nw, Suite #111, Canton, OH 44718 Phone: 330-493-0013 Fax: 330-493-6973 | |
Canton Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2725 Lincoln St E, Canton, OH 44707 Phone: 330-454-2000 Fax: 330-454-7284 | |
Premier Health And Wellness Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4774 Munson St Nw, Canton, OH 44718 Phone: 330-754-4431 Fax: 330-777-5499 | |
Skill Doc 101, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4580 Stephens Cir Nw Ste 202, Canton, OH 44718 Phone: 330-754-4431 Fax: 330-244-8839 | |
Guiding Paths Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6545 Market Ave N, Canton, OH 44721 Phone: 330-510-4533 | |
Pinnacle Wound Providers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4580 Stephens Cir Nw Ste 202, Canton, OH 44718 Phone: 330-754-4431 Fax: 330-244-8839 | |
Apex Physical Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4883 Dressler Rd Nw Ste 100, Canton, OH 44718 Phone: 330-479-9193 Fax: 330-479-9165 |