| South Oakland Gastroenterology Associates Pc | |
|
28080 Grand River Ave Suite 306 Farmington Hills MI 48336-5966 | |
| (248) 471-8982 | |
| (248) 471-9978 |
| Full Name | South Oakland Gastroenterology Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 28080 Grand River Ave, Farmington Hills, Michigan |
| Authorized Official Name and Position | Michael A Biederman (PRESIDENT) |
| Authorized Official Contact | 2484718982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Oakland Gastroenterology Associates Pc Dept 203901 P O Box 67000 Detroit MI 48267-0001 Ph: (248) 471-8982 | South Oakland Gastroenterology Associates Pc 28080 Grand River Ave Suite 306 Farmington Hills MI 48336-5966 Ph: (248) 471-8982 |
| NPI Number | 1316919616 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 01/13/2016 |
| Medicare PECOS PAC ID | 3274578661 |
|---|---|
| Medicare Enrollment ID | O20050627000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316919616 | NPI | - | NPPES |
| 1316919616 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 5101006198 (Michigan) | Primary |
| Provider Name | Mariquit D Sendelbach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457563488 PECOS PAC ID: 8426109877 Enrollment ID: I20090625000402 |
| Provider Name | Michael A Biederman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962472423 PECOS PAC ID: 7315982717 Enrollment ID: I20100219000445 |
| Provider Name | William R Raminick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346210317 PECOS PAC ID: 4587609987 Enrollment ID: I20100219000478 |
| Provider Name | Steven R Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316917545 PECOS PAC ID: 7214972611 Enrollment ID: I20100520000772 |
| Provider Name | Katie H Sumnicht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548491129 PECOS PAC ID: 8325277601 Enrollment ID: I20140827001515 |
| 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 | Jolian Sam Kathawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083065916 PECOS PAC ID: 7416248216 Enrollment ID: I20200424001012 |
| Provider Name | Olga Brushaber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306259627 PECOS PAC ID: 0941520597 Enrollment ID: I20200610003001 |
Community Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37935 W 12 Mile Rd Ste A, Farmington Hills, MI 48331 Phone: 248-579-9009 Fax: 248-579-9009 | |
Powers Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23700 Orchard Lake Rd, Farmington Hills, MI 48336 Phone: 717-682-0670 | |
Advance Care Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26120 Springland St, Farmington Hills, MI 48334 Phone: 248-722-6446 | |
Tlc Laser Eye Centers Detroit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34405 W 12 Mile Rd, Ste. 154, Farmington Hills, MI 48331 Phone: 248-489-0400 | |
Clinton River Affiliates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31547 W 13 Mile Rd, Farmington Hills, MI 48334 Phone: 985-789-2534 | |
Primecare Family Medicine Concierge Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33466 W 8 Mile Rd, Farmington Hills, MI 48335 Phone: 248-246-0505 Fax: 248-284-4487 | |
Alcona Health Center Advanced Psychiatric Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32905 W 12 Mile Rd Ste 410, Farmington Hills, MI 48334 Phone: 989-736-8157 |