Provider Demographics
NPI:1528383346
Name:DIGESTIVE ASSOCIATES OF OHIO
Entity Type:Organization
Organization Name:DIGESTIVE ASSOCIATES OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TZAGOURNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-458-1183
Mailing Address - Street 1:700 E BROAD ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3946
Mailing Address - Country:US
Mailing Address - Phone:614-458-1183
Mailing Address - Fax:614-458-1184
Practice Address - Street 1:700 E BROAD ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3946
Practice Address - Country:US
Practice Address - Phone:614-458-1183
Practice Address - Fax:614-458-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty