NPIMap

Organization Active NPI

Gi Diagnostic Center Waterford

  • Specialist
  • Waterford, MI
National Provider Identifier
1164601035
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GI DIAGNOSTIC CENTER WATERFORD
Practice address
4000 Highland Rd
Suite 100
Waterford, MI 48328-2167
Phone
(248) 682-4900
Fax
(248) 682-4909
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Safiul Hasan, M.D.NPI 1275636433
Title
Owner
Phone
(248) 682-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4000 Highland Rd
Suite 100
Waterford, MI 48328-2167

Mailing address

4000 Highland Rd
Suite 100
Waterford, MI 48328-2167
Phone (248) 682-4900

National Provider Directory

National Provider Directory

Locations

4000 Highland Rd
Ste 100
Waterford, MI 48328
Phone (248) 682-4900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1164601035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD",
            "address_2": "SUITE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282167",
            "telephone_number": "248-682-4900",
            "fax_number": "248-682-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD",
            "address_2": "SUITE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282167",
            "telephone_number": "248-682-4900",
            "fax_number": "248-682-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI DIAGNOSTIC CENTER WATERFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SAFIUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-682-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.