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520 W Lincoln Ave Ste A Ada OH 45810-9466 | |
| (419) 224-5915 | |
| (419) 224-5918 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 520 W Lincoln Ave Ste A, Ada, Ohio |
| Authorized Official Name and Position | Jeffrey Utz (DIRECTOR OF LMP) |
| Authorized Official Contact | 4199984668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1001 Bellefontaine Ave Lima OH 45804-2800 Ph: (419) 998-4575 | 520 W Lincoln Ave Ste A Ada OH 45810-9466 Ph: (419) 224-5915 |
| NPI Number | 1043761356 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 04/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043761356 | NPI | - | NPPES |
| 2223703 | Medicaid | OH | |
| 1457474900 | Other | OH | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
Gastro-intestinal Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 W North Ave, Ada, OH 45810 Phone: 419-227-8209 Fax: 419-227-8224 | |
Gastro-intestinal Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Lincoln, Ada, OH 45801 Phone: 419-227-8209 |