TROY PEDIATRIC GASTROENTEROLOGY, P.C. (NPI# 1811150527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811150527 |
Entity Type | Organization |
Organization Name | TROY PEDIATRIC GASTROENTEROLOGY, P.C. |
Other Organization Name | THE PEDIATRIC DIGESTIVE CARE CENTER |
Practice Address |
1701 South Blvd E Suite 190 Rochester Hills MI 48307-6122 |
Practice Telephone | 2488440224 |
Practice Fax Number | 2488440395 |
Mailing Telephone | 2488440224 |
Mailing Fax Number | 2488440395 |
Enumeration Date | 2008-07-03 |
Last Update Date | 2008-07-03 |
Authorized Official Name | WILLIAM M. BELKNAP (PRESIDENT) |
Authorized Official Telephone | 2488440224 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
WB055711 | MI | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
The Pediatric Digestive Care Center | Doing Business As Name - Organization |
Street Address |
1701 SOUTH BLVD E SUITE 190 |
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 | 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 |
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 |
1023108438 | Metropolitan Digestive Disease Group PC | Clinic/Center | 1349 S Rochester Rd, Suite 210, Rochester Hills, MI 48307-5821 | 2006-10-14 |
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 |
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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.