TROY GASTROENTEROLOGY PC (NPI# 1134180318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134180318 |
Entity Type | Organization |
Organization Name | TROY GASTROENTEROLOGY PC |
Other Organization Name | CENTER FOR DIGESTIVE HEALTH |
Practice Address |
1701 South Blvd E 300 Rochester Hills MI 48307-6122 |
Mailing Address |
4600 Investment Dr 380 Troy MI 48098-6365 |
Practice Telephone | 2488449782 |
Mailing Telephone | 2482675025 |
Enumeration Date | 2006-03-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. SANTE D BOLOGNA (DIRECTOR) |
Authorized Official Telephone | 2488449782 |
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 | BLUE CROSS BLUE SHIELD MI | 100F31077 | 01 |
Other Name | Type Code |
---|---|
Center For Digestive Health | Doing Business As Name - Organization |
Street Address |
1701 SOUTH BLVD E 300 |
City | ROCHESTER HILLS |
State | MI |
Zip Code | 48307-6122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233352 | Martin F Mcgough | Internal Medicine | 1701 South Blvd E, Ste 390, Rochester Hills, MI 48307-6117 | 2005-05-23 |
1285231662 | Marie Killius | Nurse Practitioner | 1701 South Blvd E, Rochester Hills, MI 48307-6122 | 2020-10-08 |
1316507346 | Dorothy Mcgaw | Nurse Practitioner | 1701 South Blvd E, Rochester Hills, MI 48307-6122 | 2019-06-20 |
1457898918 | Dana Katherine Velzy | Midwife | 1701 South Blvd E, Suite 200, Rochester Hills, MI 48307-6122 | 2017-01-23 |
1508303074 | Robert Ted Neda | Physical Therapist | 1701 South Blvd E, #110, Rochester Hills, MI 48307-6122 | 2017-01-23 |
1649724998 | Cristie Lee Sarah | Nurse Practitioner | 1701 South Blvd E, Suite 300, Rochester Hills, MI 48307-6122 | 2016-08-03 |
1255789202 | Jennifer Kinaia | Nurse Practitioner | 1701 South Blvd E, Suite 290, Rochester Hills, MI 48307-6122 | 2016-06-01 |
1528428877 | Lauren Kakish | Nurse Practitioner | 1701 South Blvd E, Suite 300, Rochester Hills, MI 48307-6122 | 2016-02-29 |
1003206756 | Laura Jayne Hazely | Advanced Practice Midwife | 1701 South Blvd E, Suite 200, Rochester Hills, MI 48307-6122 | 2015-02-03 |
1699172106 | Sarah Elizabeth Misiuk | Physical Therapist | 1701 South Blvd E, Suite 110, Rochester Hills, MI 48307-6122 | 2014-11-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
Find all providers in zip 48307 |
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 |
---|---|---|---|---|
1710290986 | Gi and Liver Consultants PC | Internal Medicine | 2024 Somerville, Rochester Hills, MI 48307-4291 | 2010-07-16 |
1407960453 | Samir S Al-hadidi | Internal Medicine | 1349 S Rochester Rd Ste 210, Rochester Hills, MI 48307-3152 | 2006-08-18 |
1508317850 | Metropolitan Digestive Disease | Internal Medicine | 75 Barclay Cir, Suite 205, Rochester Hills, MI 48307-5820 | 2016-10-21 |
1346667110 | Rochester Digestive Disease Group PC | Internal Medicine | 75 Barclay Circle, Ste 205, Rochester Hills, MI 48307-0020 | 2014-03-18 |
1720249782 | Samir Al-hadidi Md PC | Internal Medicine | 1349 S Rochester Rd, Suite 210, Rochester Hills, MI 48307-5821 | 2008-06-23 |
1548399652 | Kim M Almodovar M.d.plc | Internal Medicine | 1460 Walton Blvd, Suite 209, Rochester Hills, MI 48309-1768 | 2007-03-05 |
1316040504 | Michael Kam | Internal Medicine | 1349 S Rochester Rd, Suite 210, Rochester Hills, MI 48307 | 2006-09-06 |
1780613919 | Ghiath Tayeb Md PC | Internal Medicine | 1555 South Blvd E, Suite 320, Rochester Hills, MI 48307-5663 | 2006-07-01 |
1447236401 | Ghiath Tayeb | Internal Medicine | 1555 South Blvd E, Ste 320, Rochester Hills, MI 48307-5605 | 2005-12-21 |
1568452928 | Kambiz Bral | Internal Medicine | 1349 S Rochester Rd, Suite 210, Rochester Hills, MI 48307 | 2005-10-26 |
Find all providers in ROCHESTER HILLS |
City | ROCHESTER HILLS |
Zip Code | 48307 |
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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.