Provider Demographics
NPI:1083600548
Name:GENERAL SURGICAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:GENERAL SURGICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:K
Authorized Official - Last Name:YENCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-687-5437
Mailing Address - Street 1:618 PLEASANTVILLE RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3312
Mailing Address - Country:US
Mailing Address - Phone:740-687-5437
Mailing Address - Fax:740-687-6330
Practice Address - Street 1:618 PLEASANTVILLE RD
Practice Address - Street 2:SUITE 301
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3312
Practice Address - Country:US
Practice Address - Phone:740-687-5437
Practice Address - Fax:740-687-6330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2191604Medicaid
CH9302861Medicare UPIN
OHX39854Medicare ID - Type Unspecified