SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC – NPI #1316919616
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.

SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC is a provider located in FARMINGTON, MI. NPPES has assigned the NPI number 1316919616 to SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC on February 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Oct 28, 2025. 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 SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC below.

NPI Profile for
SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC

NPI Number
1316919616
Enumeration Date

(more than 20 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
SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC
Primary location
23133 ORCHARD LAKE RD STE 200
FARMINGTON, MI 48336-3279
Phone: (248) 579-9220 Fax: (248) 426-7350
Mailing address
PO BOX 72737
CLEVELAND, OH 44192-0002
Phone: (248) 579-9220 Fax: (248) 426-7350
Organization Subpart
No
Authorized Official
JOLIAN KATHAWA
MANAGING MEMBER
Phone: (248) 579-9220
Updated
Certification Date
Oct 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES 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
medicaidMI1316919616
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 5101006198

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.