Organization Active NPI

Gastroenterology & Hepatology Associates of Midmichigan P.C.

  • Gastroenterology Physician
  • Midland, MI
National Provider Identifier
1033204201
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY & HEPATOLOGY ASSOCIATES OF MIDMICHIGAN P.C.
Practice address
4011 Orchard Dr Ste 3008
Midland, MI 48640-6100
Phone
(989) 839-0751
Fax
(989) 839-9037
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Dr. Todd K Holtz, M.D.
Title
President
Phone
(989) 839-0751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

4011 Orchard Dr Ste 3008
Midland, MI 48640-6100

Mailing address

4011 Orchard Dr Ste 3008
Midland, MI 48640-6100
Phone (989) 839-0751

Other identifiers 1

IdentifierTypeStateIssuer
3101794MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1033204201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 ORCHARD DR STE 3008",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406100",
            "telephone_number": "989-839-0751",
            "fax_number": "989-839-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 ORCHARD DR STE 3008",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406100",
            "telephone_number": "989-839-0751",
            "fax_number": "989-839-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY & HEPATOLOGY ASSOCIATES OF MIDMICHIGAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-839-0751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101794",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.