WARREN GASTROENTEROLOGY PC – NPI #1023211422
Internal Medicine

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.

WARREN GASTROENTEROLOGY PC is a provider located in WARREN, MI. NPPES has assigned the NPI number 1023211422 to WARREN GASTROENTEROLOGY PC on June 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 16 years ago on Mar 16, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WARREN GASTROENTEROLOGY PC below.

NPI Profile for
WARREN GASTROENTEROLOGY PC

NPI Number
1023211422
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WARREN GASTROENTEROLOGY PC
Primary location
27560 HOOVER RD
WARREN, MI 48093-4505
Phone: (586) 757-6400 Fax: (586) 757-8400
Mailing address
PO BOX 1920
TROY, MI 48099-1920
Phone: (586) 757-6400 Fax:
Organization Subpart
No
Authorized Official
GHAITH IBRAHIM
PRESIDENT
Phone: (586) 757-6400
Updated
Identifiers

Identifiers for WARREN GASTROENTEROLOGY PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI4813806
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
MI
207R00000X
- Internal Medicine
MI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.