Organization
CLEVELAND CENTER FOR DIGESTIVE
Active
Other names
Cleveland Center for Digestive Health and Endoscopy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J ANDRASSY (CIO/ADMINISTRATOR)
(216) 593-7502
Entity
Organization
Contact information
Practice address
3700 PARK EAST DR, SUITE 100, BEACHWOOD, OH 44122-4339
(216) 593-7700
(216) 593-7190
Mailing address
3700 PARK EAST DR, SUITE 100, BEACHWOOD, OH 44122-4339
(216) 593-7700
(216) 593-7190
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
0065AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389849
ANTHEM BCBS
OH
05
—
0621465
—
OH
01
—
7316076
AETNA
OH
01
—
P00304788
RAILROAD MEDICARE
OH
Enumeration date
05/11/2006
Last updated
11/04/2014
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