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GRAND RIVER GASTROENTEROLOGY PC NPI 1164470472


NPI Information

NPI: 1164470472
Provider Name: GRAND RIVER GASTROENTEROLOGY PC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 23D0380155

Address:
310 LAFAYETTE AVE SE
SUITE 400
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 752-6525
Get Directions

GRAND RIVER GASTROENTEROLOGY PC is a gastroenterology internal medicine in Grand Rapids, MI. The provider is 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. GRAND RIVER GASTROENTEROLOGY PC NPI is 1164470472. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 LAFAYETTE AVE SE
SUITE 400
GRAND RAPIDS, MI
ZIP 49503-693
Phone: (616) 752-6525
Fax: (616) 752-6556

The provider's authorized official is Dena B Rumisek .
The authorized official title is Billing and has the following contact phone number (616) 752-6529.

The CLIA number assigned to this NPI record is 23D0380155 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 3/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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