Provider Demographics
NPI:1013001007
Name:MEDICAL GROUP ASSOCIATES, INC.
Entity Type:Organization
Organization Name:MEDICAL GROUP ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:KURUC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-283-4773
Mailing Address - Street 1:114 BRADY CIR E
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1469
Mailing Address - Country:US
Mailing Address - Phone:740-283-4773
Mailing Address - Fax:740-283-2918
Practice Address - Street 1:114 BRADY CIR E
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1469
Practice Address - Country:US
Practice Address - Phone:740-283-4773
Practice Address - Fax:740-283-2918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0986045Medicaid
WA0008800001Medicaid
WA0008800001Medicaid