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

Meadville Medical Center

Organization Gastroenterology Physician · NPI 1396480372

Meadville Medical Center provides Gastroenterology Physician services in Meadville, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1034 Grove St Ste G1
Meadville, PA 16335-2945
Phone: (814) 807-1202
Fax: (814) 807-1210
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1396480372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Jackson — Controller · (814) 333-5766
Other names Meadville Gastroenterology
NPI enumeratedMay 3, 2022
Last updated in NPPESMay 3, 2022
Certification dateApril 18, 2022
Mailing address1034 Grove St, Meadville, PA 16335-2945

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