GASTROENTEROLOGY INSTITUTE OF WEST MICHIGAN PC (NPI# 1992801138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992801138 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY INSTITUTE OF WEST MICHIGAN PC |
| Practice Address |
1430 Michigan St Ne Suite A Grand Rapids MI 49503-2006 |
| Mailing Address |
4100 Embassy Dr Se Suite 200 Grand Rapids MI 49546-2416 |
| Practice Telephone | 6164596146 |
| Practice Fax Number | 6164599277 |
| Mailing Telephone | 6164596146 |
| Mailing Fax Number | 6164599277 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2012-10-26 |
| Authorized Official Name | SHAUKAT ALI KHAN (DOCTOR) |
| Authorized Official Telephone | 6164596146 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
========= | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0D11782 | 01 |
| MI | 1082851 | 05 | |
| MI | RAILROAD MEDICARE | CE4135 | 01 |
| Street Address |
1430 MICHIGAN ST NE SUITE A |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
| 1033101977 | Digestive Diseases Specialists PC | Internal Medicine | 1200 East Paris Ave Se, Ste 8, Grand Rapids, MI 49546-8260 | 2005-08-17 |
| 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 | 49503 |
Please comment or provide details below to improve the information on GASTROENTEROLOGY INSTITUTE OF WEST MICHIGAN 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.