METROPOLITAN DIGESTIVE DISEASE GROUP PC (NPI# 1023108438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023108438 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN DIGESTIVE DISEASE GROUP PC |
| Other Organization Name | METROPOLITAN DIGESTIVE DISEASE PC |
| Practice Address |
1349 S Rochester Rd Suite 210 Rochester Hills MI 48307-5821 |
| Mailing Address |
Po Box 71066 Rochester MI 48307-5821 |
| Practice Telephone | 2488440991 |
| Practice Fax Number | 2488440991 |
| Mailing Telephone | 2488442600 |
| Mailing Fax Number | 2488440991 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | SAMIR AL-HADIDI (MEDICAL DOCTOR) |
| Authorized Official Telephone | 2488442600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | METROPOLITAN DIGESTIVE DISEASE GROUP PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Metropolitan Digestive Disease PC | Former Legal Business Name - Organization |
| Street Address |
1349 S ROCHESTER RD SUITE 210 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307-5821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629079728 | Susan Ann Lagrou | Pediatrics | 1349 S Rochester Rd, Ste 215, Rochester Hills, MI 48307-3150 | 2005-08-10 |
| 1538693734 | Michelle Laferle | Counselor | 1349 S Rochester Rd, Suite 220, Rochester Hills, MI 48307-3150 | 2017-04-13 |
| 1306377320 | Rochester Primary Care Holdings | Preferred Provider Organization | 1349 S Rochester Rd, Suite 100, Rochester Hills, MI 48307-3150 | 2017-03-22 |
| 1518411248 | Comprehensive Hand & Rehabilitation, LLC | Occupational Therapist | 1349 S Rochester Rd, Suite 120, Rochester Hills, MI 48307-3150 | 2016-08-10 |
| 1750749974 | Zakwan Mahjoub | Internal Medicine | 1349 S Rochester Rd, Suite 105, Rochester Hills, MI 48307-3150 | 2016-02-02 |
| 1619378650 | Shannon Fowler | Psychologist | 1349 S Rochester Rd, Suite 220, Rochester Hills, MI 48307-3150 | 2014-09-09 |
| 1255746087 | Osi, LLC | Clinic/Center | 1349 S Rochester Rd, Suite 250, Rochester Hills, MI 48307-3150 | 2014-07-01 |
| 1164846929 | Nelli Medical Services, P.C. | Internal Medicine | 1349 S Rochester Rd, Suite 115, Rochester Hills, MI 48307-3150 | 2014-02-13 |
| 1700200276 | Leah Schiller | Physician Assistant | 1349 S Rochester Rd, Suite 125, Rochester Hills, MI 48307 | 2014-02-05 |
| 1922440304 | Ellen Robyn Konsol | Occupational Therapist | 1349 S Rochester Rd, Ste 215, Rochester Hills, MI 48307-3150 | 2013-07-25 |
| Find all providers in the same location | ||||
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104058478 | Eric K. Taylor, Dds, PC | Clinic/Center | 455 S. Livernois Road, B-12, Rochester Hills, MI 48307 | 2009-08-19 |
| 1982957239 | Ltr Administrative Services LLC | Clinic/Center | 1349 S Rochester Rd, Suite 130, Rochester Hills, MI 48307-3150 | 2012-10-24 |
| 1811150527 | Troy Pediatric Gastroenterology, P.C. | Clinic/Center | 1701 South Blvd E, Suite 190, Rochester Hills, MI 48307-6122 | 2008-07-03 |
| 1588834782 | David Schaefer, M.d., P.C. | Clinic/Center | 455 S Livernois Rd, Suite B 21, Rochester Hills, MI 48307-2578 | 2008-03-04 |
| 1891980884 | Nutrition Emphais Center, Pllc | Clinic/Center | 6700 N Rochester Rd, Suite 110, Rochester Hills, MI 48306-4362 | 2007-09-12 |
| 1790794782 | Digestive Healthcare Pllc | Clinic/Center | 2700 S Rochester Rd, Rochester Hills, MI 48307-4547 | 2006-08-07 |
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|---|---|---|---|---|
| 1629684386 | True Women's Clinic of Grand Rapids, PC | Clinic/Center | 2144 E Paris Ave Se Ste 230, Grand Rapids, MI 49546-6111 | 2020-09-18 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1265081418 | Cherry Street Services Inc | Clinic/Center | 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 | 2019-09-10 |
| 1023662079 | J & D Vision Inc | Clinic/Center | 41821 Garfield Rd, Clinton Twp, MI 48038-1965 | 2019-07-29 |
| 1649839945 | Michigan Institute of Sleep Disorders Pllc | Clinic/Center | 7108 Autumn Hill Dr, West Bloomfield, MI 48323-3904 | 2019-06-10 |
| 1447715131 | Ryan Klanseck, Do | Clinic/Center | 16986 Robbins Rd Ste 140, Grand Haven, MI 49417-2795 | 2019-02-06 |
| 1598242455 | Gratiot Advanced Center LLC | Clinic/Center | 7612 Gratiot Ave Ste 200, Detroit, MI 48213-2822 | 2018-07-24 |
| 1902356140 | Midmichigan Pain | Clinic/Center | 2305 Hawthorn Dr, Suite B, Mt Pleasant, MI 48858-1202 | 2016-10-12 |
| 1184085516 | Hester S Pernell Md Pllc | Clinic/Center | 24628 Ridgeview Dr, Farmington Hills, MI 48336-1905 | 2016-03-12 |
| 1275937625 | Innovative Anesthesia Services PC | Clinic/Center | 847 Parchment Dr Se Ste 105, Grand Rapids, MI 49546 | 2014-10-14 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
Please comment or provide details below to improve the information on METROPOLITAN DIGESTIVE DISEASE GROUP 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.