Active NPI
Digestive Health Centers of Michigan PC
- Gastroenterology Physician
- Chesterfield, MI
National Provider Identifier
1366639320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301056430
- Legal business name
- DIGESTIVE HEALTH CENTERS OF MICHIGAN PC
- Practice address
- 30795 23 Mile Rd
Suite 206
Chesterfield, MI 48047-5720 - Phone
- (586) 598-5731
- Fax
- (586) 948-1530
- NPI assigned
- Oct 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald P Fogel, M.D.
- Title
- Physican/Owner
- Phone
- (586) 598-5731
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301056430 | MI | Primary |
Addresses
Primary practice location
30795 23 Mile Rd
Suite 206
Chesterfield, MI 48047-5720
Mailing address
30795 23 Mile Rd
Suite 206
Chesterfield, MI 48047-5720
Phone (586) 598-5731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4630510 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
30795 23 Mile Rd
Ste 2
Chesterfield, MI 48047
Phone (586) 598-5731
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Chesterfield TWP, MI
- NPI 1154499606
-
- Medical Physician Assistant
- Grosse Pointe, MI
- NPI 1093700981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1366639320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30795 23 MILE RD",
"address_2": "SUITE 206",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480475720",
"telephone_number": "586-598-5731",
"fax_number": "586-948-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30795 23 MILE RD",
"address_2": "SUITE 206",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480475720",
"telephone_number": "586-598-5731",
"fax_number": "586-948-1530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE HEALTH CENTERS OF MICHIGAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-03",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "FOGEL",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHYSICAN/OWNER",
"authorized_official_telephone_number": "586-598-5731",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301056430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4630510",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.