DIGESTIVE DISEASES SPECIALISTS PC (NPI# 1033101977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033101977 |
Entity Type | Organization |
Organization Name | DIGESTIVE DISEASES SPECIALISTS PC |
Other Organization Name | DR ASIF AZEEM |
Practice Address |
1200 East Paris Ave Se Ste 8 Grand Rapids MI 49546-8260 |
Mailing Address |
Po Box 3405 Evansville IN 47733-3405 |
Practice Telephone | 6169426230 |
Practice Fax Number | 6169426270 |
Mailing Telephone | 6164579000 |
Mailing Fax Number | 6164573801 |
Enumeration Date | 2005-08-17 |
Last Update Date | 2015-05-21 |
Authorized Official Name | ASIF AZEEM (OWNER) |
Authorized Official Telephone | 6169426230 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BC/BS | 1004112961 | 01 |
MI | 104554722 | 05 | |
RR MEDICARE | P00083034 | 01 |
Other Name | Type Code |
---|---|
Dr Asif Azeem | Other Name - Individual/Organization |
Street Address |
1200 EAST PARIS AVE SE STE 8 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-8260 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932288248 | Asif Azeem | Internal Medicine | 1200 East Paris Ave Se, Ste 8, Grand Rapids, MI 49546-8260 | 2006-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
Find all providers in zip 49546 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003099904 | Gastroenterology Specialist PC | Internal Medicine | 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-3682 | 2007-12-13 |
1992801138 | Gastroenterology Institute of West Michigan PC | Internal Medicine | 1430 Michigan St Ne, Suite A, Grand Rapids, MI 49503-2006 | 2006-09-15 |
1053620237 | Spectrum Health Primary Care Partners | Internal Medicine | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2010-10-05 |
1649581810 | Lindsay Smith Mohrhardt | Internal Medicine | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2010-06-23 |
1912227836 | Kamran Syed Kalim | Internal Medicine | 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 | 2010-06-02 |
1497070718 | Ryan Joshua Wong | Internal Medicine | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2010-03-30 |
1790915361 | Lia C Kaufman | Internal Medicine | 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 | 2009-07-17 |
1629218219 | Praveen Sateesh | Internal Medicine | 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 | 2009-02-23 |
1518119536 | Karen E Sein Ohn | Internal Medicine | 100 Cherry St Se, Grand Rapids, Grand Rapids, MI 49503-4526 | 2008-10-22 |
1265607667 | Susan S Kais | Internal Medicine | 310 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503 | 2008-04-25 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49546 |
Please comment or provide details below to improve the information on DIGESTIVE DISEASES SPECIALISTS PC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.