Mid-Michigan Pediatric Gastroenterology PLLC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

MID-MICHIGAN PEDIATRIC GASTROENTEROLOGY PLLC

Practice address

720 W Wackerly St Ste 9
Midland, MI 48640-2769

Phone

(989) 423-0607

Fax

(989) 423-0608

NPI assigned

Jul 6, 2026

Organization subpart

No

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

Authorized official

Name

Shamel Amin, MD

Title

Owner

Phone

(989) 423-0607

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1639097041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W WACKERLY ST STE 9",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402769",
            "telephone_number": "989-423-0607",
            "fax_number": "989-423-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W WACKERLY ST STE 9",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402769",
            "telephone_number": "989-423-0607",
            "fax_number": "989-423-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN PEDIATRIC GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SHAMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-423-0607",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Michigan Anesthesiology Group, PC
• Mid Michigan Community Action Agency
• Mid Michigan Obstetrics & Gynecology PC
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• Mid-Michigan Facilitation
• Mid-Michigan Physical Therapy and Rehab Specialists, LLC (Physical Therapy & Rehab Specialists)
• Mid-Mitten Psychological Services LLC
• Mid-Modern Eye Care, PLLC
• Ajay Middha, PT OCS MTC
• Middle Path LLC

• Pediatric Gastroenterology Physician in Midland, MI
• Providers in Midland, MI by specialty
• Pediatric Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.