Digestive Diseases Specialists PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DIGESTIVE DISEASES SPECIALISTS PC

Practice address

1200 East Paris Ave SE
Ste 8
Grand Rapids, MI 49546-8260

Phone

(616) 942-6230

Fax

(616) 942-6270

NPI assigned

Aug 17, 2005

Last updated

May 21, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Asif Azeem, MDNPI 1932288248

Title

Owner

Phone

(616) 942-6230

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr Asif Azeem Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asif Azeem, M.D.

  • Gastroenterology Physician
  • Grand Rapids, MI
  • NPI 1932288248
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1033101977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3405",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333405",
            "telephone_number": "616-457-9000",
            "fax_number": "616-457-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAST PARIS AVE SE",
            "address_2": "STE 8",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468260",
            "telephone_number": "616-942-6230",
            "fax_number": "616-942-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASES SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "AZEEM",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-942-6230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1004112961",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104554722",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00083034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Asif Azeem",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carrie Dietsch
• Valerie Dietsche
• Makenna Dietz
• Shelby Lynn Difiore
• Jennifer Karleen Digennaro, LLPC
• Dignity Counseling & Wellness
• Dignity Home Health Care, LLC
• Susan Hosana Dilan-Szanto, MD
• Dania Dilbert
• Makenna Diller, RDN

• Gastroenterology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.