FAMILY GASTROENTEROLOGY P L L C NPI 1972851608

NPI Information

NPI: 1972851608
Provider Name: FAMILY GASTROENTEROLOGY P L L C
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
805 W CEDAR ST
STANDISH, MI
ZIP 48658
Phone: (989) 846-3555
Get Directions

FAMILY GASTROENTEROLOGY P L L C is a gastroenterology internal medicine in Standish, 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. FAMILY GASTROENTEROLOGY P L L C NPI is 1972851608. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

805 W CEDAR ST
STANDISH, MI
ZIP 48658-526
Phone: (989) 846-3555
Fax: (989) 846-3462

The provider's authorized official is Ibrahim S Shamieh .
The authorized official title is Owner/physician and has the following contact phone number (989) 846-3500.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.

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
1	207RG0100X	Internal Medicine	Gastroenterology	4301064684	MICHIGAN	Yes

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
1	0988839	OTHER	MICHIGAN	HEALTH PLUS OF MICHIGAN
2	3500670651	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD OF MICHIGAN
3	0N18770	MEDICARE PIN	MICHIGAN
4	0067065	OTHER	MICHIGAN	BLUE CARE NETWORK
5	4255957	MEDICAID	MICHIGAN
6	1629026463	OTHER	MICHIGAN	INDIVIDUAL NPI
7	G13577	MEDICARE UPIN	MICHIGAN

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

NPI Synchronization or Removal

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