| Oakland Gastroenterology Associates, P.c. | |
|
3535 W 13 Mile Rd Suite 202 Royal Oak MI 48073-6770 | |
| (248) 551-0900 | |
| (248) 551-0905 |
| Full Name | Oakland Gastroenterology Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3535 W 13 Mile Rd, Royal Oak, Michigan |
| Authorized Official Name and Position | Gregg Polidori (PRESIDENT) |
| Authorized Official Contact | 2485510900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Gastroenterology Associates, P.c. 3535 W 13 Mile Rd Suite 202 Royal Oak MI 48073-6770 Ph: (248) 551-0900 | Oakland Gastroenterology Associates, P.c. 3535 W 13 Mile Rd Suite 202 Royal Oak MI 48073-6770 Ph: (248) 551-0900 |
| NPI Number | 1508964511 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 05/05/2014 |
| Medicare PECOS PAC ID | 7113981358 |
|---|---|
| Medicare Enrollment ID | O20041117000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508964511 | NPI | - | NPPES |
| 100F37143 | Other | MI | BCBS AND BCN |
| 4101048 | Medicaid | MI | |
| 4310182 | Medicaid | MI | |
| 2836211 | Medicaid | MI | |
| 4257370 | Medicaid | MI | |
| 3364901 | Medicaid | MI | |
| 4258298 | Medicaid | MI | |
| 4257380 | Medicaid | MI | |
| 4340978 | Medicaid | MI | |
| 4340940 | Medicaid | MI | |
| 4592984 | Medicaid | MI | |
| 2836230 | Medicaid | MI | |
| 4318636 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301044285 (Michigan) | Primary |
| Provider Name | Gregg Polidori |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689665465 PECOS PAC ID: 7810951068 Enrollment ID: I20050113000529 |
| Provider Name | Robert H Goo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760473540 PECOS PAC ID: 1456315605 Enrollment ID: I20101210000539 |
| Provider Name | Sami R Akkary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720199938 PECOS PAC ID: 8628002144 Enrollment ID: I20101210000979 |
| Provider Name | Richard Shawn Kinsey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659574127 PECOS PAC ID: 3476616624 Enrollment ID: I20141216001302 |
| Provider Name | Ehab Rabaa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164586707 PECOS PAC ID: 6204937568 Enrollment ID: I20150109000488 |
| Provider Name | Dorene Hardie-goo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649545955 PECOS PAC ID: 3072896422 Enrollment ID: I20191031000635 |
Beaumont Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-585-8271 Fax: 248-585-8266 | |
Hospital Consultants, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-691-8646 | |
Beaumont Professional Services/geriatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454 | |
Covenant Woodward Avenue Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27776 Woodward Ave, Royal Oak, MI 48067 Phone: 248-556-4900 Fax: 248-556-4950 | |
Epg Urgent Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26454 Woodward Ave, Suite 150, Royal Oak, MI 48067 Phone: 248-545-7210 Fax: 248-545-1023 | |
Jodi Mollica Lcsw Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 628 E Parent Ave Ste 506, Royal Oak, MI 48067 Phone: 248-321-8684 | |
Beaumont Professional Services/infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454 |