Organization
GASTROENTEROLOGY ASSOCIATION OF CLEVELAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J ANDRASSY M.ED,, PA-C (CEO/ADMINISTRATOR)
(216) 593-7180
Entity
Organization
Contact information
Practice address
3700 PARK EAST DR, SUITE 100, BEACHWOOD, OH 44122-4339
(216) 593-7502
(216) 593-7503
Mailing address
3700 PARK EAST DR, SUITE 100, BEACHWOOD, OH 44122-4339
(216) 593-7502
(216) 593-7503
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000163694
ANTHEM BCBS
OH
05
—
0552656
—
OH
01
—
CN0143
RAILROAD MEDICARE
OH
Enumeration date
07/18/2005
Last updated
07/21/2022
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