Organization Active NPI

Kha H. Ngo, D.O., P.L.L.C.

  • Gastroenterology Physician
  • Novi, MI
National Provider Identifier
1407233745
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101017406 Issued in MI
Legal business name
KHA H. NGO, D.O., P.L.L.C.
Practice address
26850 Providence Pkwy
Ste 350
Novi, MI 48374-1213
Phone
(248) 662-4110
Fax
(248) 662-4120
NPI assigned
May 6, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Kha H Ngo, D.O.NPI 1336330224
Title
Owner
Phone
(248) 662-4110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5101017406 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy
Ste 350
Novi, MI 48374-1213

Mailing address

26850 Providence Pkwy
Ste 350
Novi, MI 48374-1213
Phone (248) 662-4110

National Provider Directory

National Provider Directory

Locations

22250 Providence Dr
Ste 703
Southfield, MI 48075
Phone (248) 557-5717

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1407233745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "STE 350",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-662-4110",
            "fax_number": "248-662-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "STE 350",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-662-4110",
            "fax_number": "248-662-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHA H. NGO, D.O., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "KHA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-662-4110",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101017406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.