SOUTHEASTERN GASTROENTEROLOGY ASSOCIATES P.C. (NPI# 1225369838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225369838 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN GASTROENTEROLOGY ASSOCIATES P.C. |
| Practice Address |
27500 Hoover Rd Warren MI 48093 |
| Mailing Address |
27500 Hoover Rd Warren MI 48093-4586 |
| Practice Telephone | 5867551606 |
| Practice Fax Number | 5867551857 |
| Mailing Telephone | 5867551606 |
| Mailing Fax Number | 5867551857 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |
| Authorized Official Name | DR. MICHELE KAREN DODMAN (PHYSICIAN) |
| Authorized Official Telephone | 5867551606 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
5101010430 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
27500 HOOVER RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508819475 | Great Lakes Seniors PC | Specialist | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-05-19 |
| 1245574920 | Gi Health & Wellnes PC | Internal Medicine | 27500 Hoover Rd, Warren, MI 48093-4586 | 2012-11-19 |
| 1619242179 | Daniel L Jensen D O P L L C | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27500 Hoover Rd, Ste 100, Warren, MI 48093-4586 | 2012-03-16 |
| 1043535990 | Bi County Clinical Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27500 Hoover Rd, Suite 100, Warren, MI 48093-4586 | 2010-04-05 |
| 1942524624 | Bi County Medical Practices | Internal Medicine | 27500 Hoover Rd, Warren, MI 48093-4586 | 2010-03-24 |
| 1851589584 | Louis L Rondini Do Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27500 Hoover Rd, Suite 100, Warren, MI 48093-4586 | 2007-10-09 |
| 1124213921 | Bi County Clinical Practices | Surgery | 27500 Hoover Rd, Ste 100, Warren, MI 48093-4586 | 2007-09-14 |
| 1326230236 | Daniel Loran Jensen | Surgery | 27500 Hoover Rd, Ste 100, Warren, MI 48093-4586 | 2007-08-14 |
| 1508955816 | Great Lakes Medical Center PC | Specialist | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-10-12 |
| 1609817410 | Dr. Richard Colman Do Pllc | Obstetrics & Gynecology | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| 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 |
|---|---|---|---|---|
| 1932113438 | Ghaith M Ibrahim | Internal Medicine | 27560 Hoover Road, Hoover Medical Plaza, Warren, MI 48093 | 2006-07-28 |
| 1134168644 | Carlos A Ricotti | Internal Medicine | 1373 E Market St, Warren, OH 44483-6607 | 2006-06-06 |
| 1396792776 | Lawrence S Kluger | Internal Medicine | 35 Ellsworth Dr, Warren, NJ 07059-7137 | 2006-05-30 |
| 1275516460 | Farid Naffah | Internal Medicine | 9225 E Market St, Warren, OH 44484-5517 | 2005-11-22 |
| 1245574920 | Gi Health & Wellnes PC | Internal Medicine | 27500 Hoover Rd, Warren, MI 48093-4586 | 2012-11-19 |
| 1760778047 | Kevin Castillo | Internal Medicine | 1622 E Market St, Warren, OH 44483-6613 | 2011-06-24 |
| 1942524624 | Bi County Medical Practices | Internal Medicine | 27500 Hoover Rd, Warren, MI 48093-4586 | 2010-03-24 |
| 1285968446 | Nafea Majed Zayouna | Internal Medicine | 27560 Hoover Rd, Warren, MI 48093-4505 | 2009-09-21 |
| 1780869909 | Avamar Gastroenterology, Inc. | Internal Medicine | 9225 E Market St, Warren, OH 44484-5517 | 2008-01-07 |
| 1861671802 | Kartar S. Khanuja M.d.inc. | Internal Medicine | 1700 E Market St, 112, Warren, OH 44483-6625 | 2007-10-26 |
| Find all providers in WARREN | ||||
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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.