OrganizationActive
Great Lakes Gastroenterology Research
NPI 1639591019 · Research Study Specialist · Mentor, OH
Provider details
- NPI number
- 1639591019
- Entity type
- Organization
- Primary specialty
- Research Study SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Leah Nowak, Administrative Coordinator(440) 205-1225
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9485 Mentor Ave
Suite 105
Mentor, OH 44060-4597
Phone: (440) 205-1225
Fax: (440) 205-1275
Street-level locationGet directions
Mailing address
9485 Mentor Ave
Mentor, OH 44060-4597
Registry dates
- Enumerated
- 2014-01-20
- Last updated
- 2014-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.