NPIMap

Organization Active NPI

Gratiot Medical Specialists, P.C.

  • Internal Medicine Physician
  • Alma, MI
National Provider Identifier
1417039611
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301070136 Issued in MI
Legal business name
GRATIOT MEDICAL SPECIALISTS, P.C.
Practice address
300 E Warwick Dr
Alma, MI 48801-1014
Phone
(989) 463-5740
NPI assigned
Oct 19, 2006
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. Pankaj Jandwani, M.D.NPI 1700824612
Title
President
Phone
(989) 463-5740

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301070136 MI Primary

Addresses

Primary practice location

300 E Warwick Dr
Alma, MI 48801-1014

Mailing address

PO Box 173
Alma, MI 48801-0173
Phone (989) 463-5740

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1417039611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488010173",
            "telephone_number": "989-463-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011014",
            "telephone_number": "989-463-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATIOT MEDICAL SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "JANDWANI",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-463-5740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301070136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.