Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Great Lakes Gastroenterology Consultants, LLC

Organization Gastroenterology Physician · NPI 1821155177

Great Lakes Gastroenterology Consultants, LLC provides Gastroenterology Physician services in Oregon, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2702 Navarre Ave Ste 106
Oregon, OH 43616-3223 Not confirmed with CMS for 18 years — call before visiting
Phone: (419) 696-5555
Fax: (419) 696-8499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X (OH)

Record details

NPI number1821155177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sudhakar Pangulur — President · (419) 696-5555
NPI enumeratedJanuary 3, 2007
Last updated in NPPESMay 9, 2008
Mailing address2702 Navarre Ave, Suite 106, Oregon, OH 43616-3223

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