PEDIATRIC GASTROENTEROLOGY CLINIC, P.C. (NPI# 1912172479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912172479 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC GASTROENTEROLOGY CLINIC, P.C. |
| Practice Address |
43700 Woodward Ave Suite 210 Bloomfield Hills MI 48302-5058 |
| Practice Telephone | 2483384433 |
| Mailing Telephone | 2483384433 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. MOUHIB F AYAS (PRESIDENT) |
| Authorized Official Telephone | 2483384433 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
43700 WOODWARD AVE SUITE 210 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629053806 | Dov Schuchman Md PC | Obstetrics & Gynecology | 43700 Woodward Ave, Suite 114, Bloomfield Hills, MI 48302-5058 | 2005-12-12 |
| 1356815351 | Healthline Pharmacy, LLC | Pharmacy | 43700 Woodward Ave, Bloomfield Hills, MI 48302-5058 | 2019-01-14 |
| 1881065894 | Kate Schrader | Physical Therapist | 43700 Woodward Ave, Ste 106, Bloomfield Hills, MI 48302-5058 | 2015-10-16 |
| 1376921783 | Bloomfield Eye Associates PC | Ophthalmology | 43700 Woodward Ave, Suite 103, Bloomfield Hills, MI 48302-5058 | 2015-05-18 |
| 1164787768 | Edward A. Tashjian, M.d., P.C. | Specialist | 43700 Woodward Ave, Suite 201, Bloomfield Hills, MI 48302-5058 | 2012-07-10 |
| 1164706875 | David Schleimer | Otolaryngology | 43700 Woodward Ave, Ste 201, Bloomfield Hills, MI 48302-5061 | 2011-09-30 |
| 1366671521 | Sally Jamal Murad-kejbou | Ophthalmology | 43700 Woodward Ave, Suite 103, Bloomfield Hills, MI 48302-5058 | 2009-07-09 |
| 1144460833 | Darius J Karimipour, M.d., P.C. | Dermatology | 43700 Woodward Ave, Suite 110, Bloomfield Hills, MI 48302-5058 | 2009-02-20 |
| 1871783662 | Hala Nahhas, M.d., Pllc | Psychiatry & Neurology | 43700 Woodward Ave, Suite 211, Bloomfield Hills, MI 48302-5058 | 2007-07-27 |
| 1588860639 | Hala S Nahhas | Psychiatry & Neurology | 43700 Woodward Ave, Suite 211, Bloomfield Hills, MI 48302-5058 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881603975 | Vasundhara Tolia | Pediatrics | 4304 Copper Cliff, Bloomfield Hills, MI 48302-1922 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854685 | Digestive Care of Lansing Plc | Pediatrics | 503 Mall Ct # 145, Lansing, MI 48912-5200 | 2017-04-11 |
| 1215037569 | Janice B Heikenen | Pediatrics | 6287 Lagoon Lane, Box 439, Mohawk, MI 49950 | 2006-09-25 |
| 1538194055 | Safwan Malas | Pediatrics | 1200 E Michigan Ave Ste 410, Lansing, MI 48912-1850 | 2006-07-12 |
| 1629048699 | Deborah L Cloney | Pediatrics | 35 Michigan Ne, Suite 4150, Grand Rapids, MI 49503 | 2006-01-24 |
| 1841791217 | Ashley Joanne Ross | Pediatrics | 601 John St Ste M-351, Kalamazoo, MI 49007-5358 | 2018-02-21 |
| 1083146906 | S Madani Md PC | Pediatrics | 4727 Saint Antoine St, Suite 402, Detroit, MI 48201-1461 | 2017-03-30 |
| 1497165153 | Salman S. Salman | Pediatrics | 3901 Beaubien, Detroit, MI 48201-2119 | 2014-05-04 |
| 1083959522 | Promedica Central Physicians LLC | Pediatrics | 730 N Macomb St, Suite 300, Monroe, MI 48162-2900 | 2012-12-11 |
| 1336405554 | Jennifer B Mitsuya | Pediatrics | 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 | 2012-04-02 |
| 1457665671 | Sanjay Kumar | Pediatrics | 22201 Moross Road, Suite 270, Pbii, Detroit, MI 48236 | 2010-07-29 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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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.