| Family Gastroenterology P L L C | |
|
805 W Cedar St Standish MI 48658-9526 | |
| (989) 846-3555 | |
| (989) 846-3462 |
| Full Name | Family Gastroenterology P L L C |
|---|---|
| Speciality | Internal Medicine |
| Location | 805 W Cedar St, Standish, Michigan |
| Authorized Official Name and Position | Ibrahim S Shamieh (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9898463500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Gastroenterology P L L C Po Box 125 Standish MI 48658-0125 Ph: (989) 846-3500 | Family Gastroenterology P L L C 805 W Cedar St Standish MI 48658-9526 Ph: (989) 846-3555 |
| NPI Number | 1972851608 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 08/28/2012 |
| Medicare PECOS PAC ID | 2466602487 |
|---|---|
| Medicare Enrollment ID | O20121026000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972851608 | NPI | - | NPPES |
| 0067065 | Other | MI | BLUE CARE NETWORK |
| 3500670651 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 1629026463 | Other | MI | INDIVIDUAL NPI |
| 0988839 | Other | MI | HEALTH PLUS OF MICHIGAN |
| 4255957 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301064684 (Michigan) | Primary |
| Provider Name | Ibrahim S Shamieh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629026463 PECOS PAC ID: 8628228657 Enrollment ID: I20121026000612 |
Ascension Standish Hospital Healthcare Associates Of Standish Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 W Cedar St, Standish, MI 48658 Phone: 989-846-3503 Fax: 989-846-3536 | |
Sterling Area Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3789 Wyatt Rd, Standish, MI 48658 Phone: 989-654-2491 | |
Muhammed R Mirza Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 W Cedar Street, Standish, MI 48658 Phone: 989-846-3555 Fax: 989-846-3546 | |
Sterling Area Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1064 W Cedar St, Standish, MI 48658 Phone: 989-654-2491 | |
Ascension Standish Hospital Standish Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 805 W Cedar St, Standish, MI 48658 Phone: 989-846-4521 Fax: 989-846-3541 | |
Mclaren Central Michigan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 W Cedar St, Standish, MI 48658 Phone: 989-846-4521 Fax: 989-846-3546 | |
Mclaren Central Michigan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4489 M 61, Stes 1, 2, Standish, MI 48658 Phone: 989-846-2600 Fax: 989-846-2601 |