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GASTROENTEROLOGY ASSOCIATES OF WESTERN MICHIGAN PLC NPI 1588731087


NPI Information

NPI: 1588731087
Provider Name: GASTROENTEROLOGY ASSOCIATES OF WESTERN MICHIGAN PLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 23D2086355

Address:
2093 HEALTH DRIVE
SUITE 201
WYOMING, MI
ZIP 49519
Phone: (616) 452-7099
Get Directions

GASTROENTEROLOGY ASSOCIATES OF WESTERN MICHIGAN PLC is a gastroenterology internal medicine in Wyoming, MI. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GASTROENTEROLOGY ASSOCIATES OF WESTERN MICHIGAN PLC NPI is 1588731087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2093 HEALTH DRIVE
SUITE 201
WYOMING, MI
ZIP 49519
Phone: (616) 452-7099
Fax: (616) 452-4142

The provider's authorized official is Allan Coates .
The authorized official title is Principle and has the following contact phone number (616) 450-2765.

The CLIA number assigned to this NPI record is 23D2086355 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 3/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11093116048MEDICAIDMICHIGAN
21134509532MEDICAIDMICHIGAN
31588731087MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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