MACOMB GASTROENTEROLOGY PC (NPI# 1912002510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912002510 |
| Entity Type | Organization |
| Organization Name | MACOMB GASTROENTEROLOGY PC |
| Practice Address |
37555 Garfield Ste 125 Clinton Township MI 48036 |
| Practice Telephone | 5862637150 |
| Practice Fax Number | 5862633212 |
| Mailing Telephone | 5862637150 |
| Mailing Fax Number | 5862633212 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BYUNG SOON LEE (PRESIDENT) |
| Authorized Official Telephone | 5862637150 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
37555 GARFIELD STE 125 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639187586 | Joseph L Kinzie | Internal Medicine | 37555 Garfield, Suite 125, Clinton Township, MI 48036 | 2006-08-04 |
| 1356454656 | Byung Soon Lee | Internal Medicine | 37555 Garfield, Suite 125, Clinton Township, MI 48036 | 2006-08-17 |
| 1225046170 | Rene Richard Peleman | Internal Medicine | 37555 Garfield, Suite 125, Clinton Township, MI 48036 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| 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 |
|---|---|---|---|---|
| 1649590001 | Jack Richard Tocco | Internal Medicine | 37555 Garfield Road, Suite 125, Clinton Township, MI 48036-3066 | 2010-06-08 |
| 1184832305 | Gurpreet Singh | Internal Medicine | 43301 Commons Dr, Clinton Township, MI 48038-1109 | 2007-05-20 |
| 1164433108 | Dale William Beaumont | Internal Medicine | 42633 Garfield Rd Ste 318, Clinton Township, MI 48038-5033 | 2006-08-11 |
| 1639187586 | Joseph L Kinzie | Internal Medicine | 37555 Garfield, Suite 125, Clinton Township, MI 48036 | 2006-08-04 |
| 1558360669 | Ghanshyam N Patel | Internal Medicine | 18645 Canal Rd, Suite 3, Clinton Township, MI 48038-5822 | 2005-07-20 |
| 1558732164 | Greater Michigan Gastroenterology PC | Internal Medicine | 43301 Commons Dr, Clinton Township, MI 48038-1109 | 2015-10-08 |
| 1063738003 | G. N. Patel, M.d., P.C. | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | 2010-04-15 |
| 1225278054 | Jaspreet K Ghumman | Internal Medicine | 37399 Garfield Rd Ste 104, Clinton Township, MI 48036-3672 | 2009-03-06 |
| 1144495193 | Dale W. Beaumont, M.d., P.C. | Internal Medicine | 42633 Garfield Rd Ste 318, Clinton Township, MI 48038-5033 | 2008-04-29 |
| 1265618102 | Gi Medicine Associates PC | Internal Medicine | 42645 Garfield Rd, Clinton Township, MI 48038-5022 | 2008-01-10 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on MACOMB GASTROENTEROLOGY 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.