| North Shore Endoscopy Center, Llc | |
|
850 Columbia Rd Ste 200 Westlake OH 44145-7215 | |
| (440) 219-5627 | |
| (440) 808-2060 |
| Full Name | North Shore Endoscopy Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 850 Columbia Rd Ste 200, Westlake, Ohio |
| Authorized Official Name and Position | Mousab I Tabbaa (PRESIDENT) |
| Authorized Official Contact | 4408081212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Endoscopy Center, Llc 850 Columbia Rd Suite 200 Westlake OH 44145-1493 Ph: (440) 808-1212 | North Shore Endoscopy Center, Llc 850 Columbia Rd Ste 200 Westlake OH 44145-7215 Ph: (440) 219-5627 |
| NPI Number | 1467474585 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 01/17/2024 |
| Medicare PECOS PAC ID | 7416844733 |
|---|---|
| Medicare Enrollment ID | O20040302000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467474585 | NPI | - | NPPES |
| 0226151 | Medicaid | OH | |
| 490002928 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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