| Gastroenterology Associates Of Western Michigan Plc | |
|
2093 Health Drive Suite 201 Wyoming MI 49519 | |
| (616) 452-7099 | |
| (616) 452-4142 |
| Full Name | Gastroenterology Associates Of Western Michigan Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2093 Health Drive, Wyoming, Michigan |
| Authorized Official Name and Position | Allan Coates (PRINCIPLE) |
| Authorized Official Contact | 6164502765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of Western Michigan Plc 2093 Health Dr Sw Ste 201 Wyoming MI 49519-9691 Ph: (616) 328-5350 | Gastroenterology Associates Of Western Michigan Plc 2093 Health Drive Suite 201 Wyoming MI 49519 Ph: (616) 452-7099 |
| NPI Number | 1588731087 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 03/06/2021 |
| Medicare PECOS PAC ID | 2860413051 |
|---|---|
| Medicare Enrollment ID | O20051215000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588731087 | NPI | - | NPPES |
| 1134509532 | Medicaid | MI | |
| 1093116048 | Medicaid | MI | |
| 1588731087 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Allan Coates |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972510378 PECOS PAC ID: 3274532627 Enrollment ID: I20120629000358 |
| Provider Name | David C Tabor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720097231 PECOS PAC ID: 5597919365 Enrollment ID: I20130201000092 |
| Provider Name | Sharyn Armstrong Coates |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093116048 PECOS PAC ID: 4486873411 Enrollment ID: I20140924000325 |
| Provider Name | Katherine Elizabeth Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124612619 PECOS PAC ID: 4880002203 Enrollment ID: I20210726001449 |
| Provider Name | Julia Valdespina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508510439 PECOS PAC ID: 4284011487 Enrollment ID: I20220509001595 |
Jasper Health Worx Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5960 Burlingame Ave Sw Ste A, Wyoming, MI 49509 Phone: 877-291-6488 | |
Metro Health Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 781 36th St Se, Wyoming, MI 49548 Phone: 616-252-4100 Fax: 616-252-4953 | |
Catherines Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 36th St Sw, Wyoming, MI 49509 Phone: 616-336-8800 | |
Midwest Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 44th St Sw, Suite A1, Wyoming, MI 49509 Phone: 800-968-6866 | |
Pediatrics Primary Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4433 Byron Center Ave Sw, Pediatrics Primary Care, Wyoming, MI 49519 Phone: 616-530-2846 Fax: 616-530-2854 | |
Spectrum Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 Clyde Park Ave Sw, Wyoming, MI 49509 Phone: 616-486-6790 | |
Allen Surgical Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 44th St Sw Ste 101, Wyoming, MI 49509 Phone: 616-828-4622 |