FAMILY GASTROENTEROLOGY P L L C (NPI# 1972851608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972851608 |
| Entity Type | Organization |
| Organization Name | FAMILY GASTROENTEROLOGY P L L C |
| Practice Address |
805 W Cedar St Standish MI 48658-9526 |
| Mailing Address |
Po Box 125 Standish MI 48658-0125 |
| Practice Telephone | 9898463555 |
| Practice Fax Number | 9898463462 |
| Mailing Telephone | 9898463500 |
| Mailing Fax Number | 9898463462 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | DR. IBRAHIM S SHAMIEH (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 9898463500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
4301064684 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTH PLUS OF MICHIGAN | 0988839 | 01 |
| MI | INDIVIDUAL NPI | 1629026463 | 01 |
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | 3500670651 | 01 |
| MI | 4255957 | 05 | |
| MI | BLUE CARE NETWORK | 0067065 | 01 |
| Street Address |
805 W CEDAR ST |
| City | STANDISH |
| State | MI |
| Zip Code | 48658-9526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156015 | Muhammed Rashid Mirza | Internal Medicine | 805 W Cedar St, Standish, MI 48658-9526 | 2005-06-28 |
| 1770105652 | Mclaren Central Michigan | Clinic/Center | 805 W Cedar St, Standish, MI 48658-9526 | 2020-05-13 |
| 1710458195 | Caitlyn Hopkins | Physician Assistant | 805 W Cedar St, Standish, MI 48658-9526 | 2018-12-11 |
| 1740769793 | Andrew Allan Slocum | Nurse Practitioner | 805 W Cedar St, Standish, MI 48658-9526 | 2018-08-10 |
| 1821523424 | Andrew Lang | Occupational Therapist | 805 W Cedar St, Standish, MI 48658-9526 | 2017-04-21 |
| 1790237840 | Amy Kerkela | Physician Assistant | 805 W Cedar St, Standish, MI 48658-9526 | 2016-10-25 |
| 1144779885 | Ascension Standish Hospital | Family Medicine | 805 W Cedar St, Standish, MI 48658-9526 | 2016-09-22 |
| 1609321595 | Lakhvir Kaur | Family Medicine | 805 W Cedar St, Standish, MI 48658-9526 | 2016-08-20 |
| 1861888034 | Caitlin Brandsdorfer | Internal Medicine | 805 W Cedar St, Standish, MI 48658-9526 | 2015-04-14 |
| 1548528086 | Stacey Anne Williamson | Nurse Practitioner | 805 W Cedar St, Standish, MI 48658 | 2012-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136810 | Gregory John Haven | Behavioral Analyst | 2737 Deep River Road, Standish, MI 48658 | 2020-02-19 |
| 1568797579 | Mallori Ann Dzurka | Dietitian, Registered | 805 W. Cedar, Standish, MI 48658 | 2009-10-08 |
| 1548497399 | St. Mary's of Michigan | General Acute Care Hospital | 805 West Cedar, Standish, MI 48658 | 2009-06-19 |
| 1043479801 | Jeffrey S. Kimball, D.c. | Chiropractor | 401 E. Cedar St., Standish, MICHIGAN 48658 | 2008-06-06 |
| 1356549414 | Benjamin E Brummer | Dentist | 116 N Main, Standish, MI 48658 | 2007-07-10 |
| 1568580272 | Muhammed R Mirza Md | Internal Medicine | 805 W Cedar Street, Standish, MI 48658 | 2007-03-27 |
| 1619020856 | Bay Human Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 S Forest Street, Standish, MI 48658 | 2007-01-19 |
| 1659480457 | Standish Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 529 S Main St, Suite G, Standish, MI 48658 | 2006-08-29 |
| 1437690419 | James Spegel | Social Worker | 1000 W Cedar St, Standish, MI 48658 | 2017-03-10 |
| 1881638799 | Andrew Raymond Dwan | Dentist | 206 S Main St, Standish, MI 48658 | 2006-06-15 |
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| 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 |
|---|---|---|---|---|
| 1629026463 | Ibrahim S Shamieh | Internal Medicine | 805 West Cedar Street, Standish, MI 48658 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785561 | Digestive Health Clinic | Internal Medicine | 2486 Nerredia St Ste A, Flint, MI 48532-4807 | 2018-10-11 |
| 1053808550 | Dr. Allison Wood, Do Mph, Pllc | Internal Medicine | 4136 Legacy Pkwy Ste 100, Lansing, MI 48911-4293 | 2018-04-19 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1043698988 | Krishna Chaitanya Meka | Internal Medicine | 27301 Dequindre Rd Ste 314, Madison Heights, MI 48071 | 2015-05-12 |
| 1609260892 | Chia-yang Hsu | Internal Medicine | A. Alfred Taubman Health Care Center, 1500 East Medical Center Drive Room 3912, Ann Arbor, MI 48109 | 2015-03-25 |
| 1982015228 | Access Family Gastroenterology Pllc | Internal Medicine | G-1125 Linden Rd, Suite 500, Flint, MI 48532 | 2014-05-08 |
| 1740610401 | Gastrofit Pllc | Internal Medicine | 23500 Park St Ste 2b, Dearborn, MI 48124-2598 | 2013-11-17 |
| 1578908000 | Emily E Tommolino | Internal Medicine | 26850 Providence Pkwy Ste 510, Novi, MI 48374-1267 | 2013-05-10 |
| 1679917074 | Harold Joseph Tobes | Internal Medicine | 1205 Nakomis Trl, Lake Orion, MI 48362-1340 | 2013-04-29 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
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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.