| North Shore Gastroenterology, Inc. | |
|
850 Columbia Rd Ste 200 Westlake OH 44145-7215 | |
| (440) 808-1212 | |
| (440) 808-2060 |
| Full Name | North Shore Gastroenterology, Inc. |
|---|---|
| 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 Gastroenterology, Inc. 850 Columbia Rd Ste 200 Westlake OH 44145-7215 Ph: (440) 808-1212 | North Shore Gastroenterology, Inc. 850 Columbia Rd Ste 200 Westlake OH 44145-7215 Ph: (440) 808-1212 |
| NPI Number | 1932121050 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 3072409382 |
|---|---|
| Medicare Enrollment ID | O20040224000970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932121050 | NPI | - | NPPES |
| 0727897 | Medicaid | OH | |
| CL6884 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207RI0008X | Internal Medicine - Hepatology | (* (Not Available)) | Secondary |
| Provider Name | James Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952323784 PECOS PAC ID: 0446236509 Enrollment ID: I20040629000023 |
| Provider Name | Gabriella Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508896754 PECOS PAC ID: 1557397510 Enrollment ID: I20050711000797 |
| Provider Name | Robert Francis Straub |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083636856 PECOS PAC ID: 3375528540 Enrollment ID: I20080226000073 |
| Provider Name | Naim Alkhouri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134336662 PECOS PAC ID: 3870619976 Enrollment ID: I20100927000598 |
| Provider Name | Michael Springer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689696445 PECOS PAC ID: 8325024664 Enrollment ID: I20101129000126 |
| Provider Name | Mousab Tabbaa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184642050 PECOS PAC ID: 8426944745 Enrollment ID: I20101129000199 |
| Provider Name | John Tully |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265619993 PECOS PAC ID: 6305993577 Enrollment ID: I20110801000260 |
| Provider Name | Jessica N Angell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033407028 PECOS PAC ID: 5698945533 Enrollment ID: I20110831000648 |
| Provider Name | Kate Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942434881 PECOS PAC ID: 0840448197 Enrollment ID: I20120912000333 |
| Provider Name | Lauren M Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124467055 PECOS PAC ID: 0840414306 Enrollment ID: I20140624001519 |
| Provider Name | Iryna Kalinina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720495757 PECOS PAC ID: 2163641259 Enrollment ID: I20140923001311 |
| Provider Name | Bianca A Macanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396165478 PECOS PAC ID: 2062736481 Enrollment ID: I20150113001351 |
| Provider Name | Mohamed S Naem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588981195 PECOS PAC ID: 2466692801 Enrollment ID: I20160113000918 |
| Provider Name | Kimberly A Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346605102 PECOS PAC ID: 5193029643 Enrollment ID: I20160204000262 |
| Provider Name | Kimberly A Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811130222 PECOS PAC ID: 9537459326 Enrollment ID: I20160607001802 |
| Provider Name | Kara M Rambasek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437600533 PECOS PAC ID: 9133400377 Enrollment ID: I20170103000319 |
| Provider Name | Rinjal Dilip Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417272113 PECOS PAC ID: 9234361858 Enrollment ID: I20170718002612 |
| Provider Name | Erica L Barb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881173912 PECOS PAC ID: 7911257787 Enrollment ID: I20180829002627 |
| Provider Name | Preeti Jhawar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750572749 PECOS PAC ID: 3779724943 Enrollment ID: I20190104002783 |
| Provider Name | Jill M Reindel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932662061 PECOS PAC ID: 1153664214 Enrollment ID: I20190624001508 |
| Provider Name | Nicole M Zambory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356995138 PECOS PAC ID: 2365770559 Enrollment ID: I20190826004032 |
| Provider Name | Erika Warton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538821061 PECOS PAC ID: 0840687018 Enrollment ID: I20220419000976 |
| Provider Name | Caitlin Zickes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568196046 PECOS PAC ID: 7315313335 Enrollment ID: I20221017001593 |
| Provider Name | Adam S Tabbaa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164884102 PECOS PAC ID: 2769715408 Enrollment ID: I20230804000312 |
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North East Ohio Group Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-835-8000 | |
Gemini Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 Crocker Rd, Suite 540, Westlake, OH 44145 Phone: 440-835-0563 Fax: 440-835-8434 | |
Westlake Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26314 Center Ridge Rd, Westlake, OH 44145 Phone: 440-871-3655 Fax: 440-871-0740 | |
Mindful Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1991 Crocker Rd Ste 600, Westlake, OH 44145 Phone: 440-373-7898 |