South Oakland Gastroenterology Associates PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

5101006198 Issued in MI

Legal business name

SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC

Practice address

23133 Orchard Lake Rd Ste 200
Farmington, MI 48336-3279

Phone

(248) 579-9220

Fax

(248) 426-7350

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Jolian Sam KathawaNPI 1083065916

Title

Managing Member

Phone

(248) 579-9220

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

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

• Jolian Sam Kathawa, D.O.

  • Gastroenterology Physician
  • Farmington, MI
  • NPI 1083065916
  Medicare reassignment Care Compare group NPD Authorized official
• Olga Brushaber, DO

  • Gastroenterology Physician
  • Farmington Hills, MI
  • NPI 1306259627
  Medicare reassignment Care Compare group NPD
• Jared Grodman, DO

  • Gastroenterology Physician
  • Farmington Hills, MI
  • NPI 1013404540
  Medicare reassignment Care Compare group NPD
• Katie Hill Macfarlane, D.O.

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1548491129

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Mariquit Dumaguin Sendelbach, D.O.

  • Gastroenterology Physician
  • Farmington Hills, MI
  • NPI 1457563488
  Medicare reassignment Care Compare group NPD
• Ehab Rabaa, M.D.

  • Anatomic Pathology Physician
  • Memphis, TN
  • NPI 1164586707

  MI

  Medicare reassignment Care Compare group NPD
• Richard Shawn Kinsey, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1659574127

  MI

  Medicare reassignment NPD
• Bruce F Arnold, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Farmington, MI
  • NPI 1164400438
  NPD
• Farooq Ahmed Minhas, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Southfield, MI
  • NPI 1750380317
  NPD
• Michael Wayne Kinning, D.O.

  • Gastroenterology Physician
  • Muskegon, MI
  • NPI 1184006611

  Single Specialty

  NPD (past)
• Larry A Wickless, M.D.

  • Gastroenterology Physician
  • Farmington Hills, MI
  • NPI 1033189071
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1316919616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72737",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "248-579-9220",
            "fax_number": "248-426-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363279",
            "telephone_number": "248-579-9220",
            "fax_number": "248-426-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "KATHAWA",
        "authorized_official_first_name": "JOLIAN",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-579-9220"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101006198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316919616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roman Shlafer, D.D.S.
• Dana Cevette Smith
• Dawn Smith, LMSW
• Smith'S Loving Home Healthcare Services LLC
• Mirta T Soler, MD
• Lauren Marie Stafford, MOT,OTR/L
• Star Medical Equipment and Supplies
• Jennifer Lynn Stark, M.A. CCC-SLP, CBIS
• Sheldon L Stern, DO
• Stoller Clinic PC Dba the Lowen Clinic

• Gastroenterology Physician in Farmington, MI
• Providers in Farmington, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.