Michigan Gastroenterology Clinic, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

GA069125 Issued in MI

Legal business name

MICHIGAN GASTROENTEROLOGY CLINIC, PC

Practice address

5059 Villa Linde Pkwy Ste 28
Flint, MI 48532-3438

Phone

(810) 720-7600

NPI assigned

May 18, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ghanem Almounajed, MDNPI 1235146150

Title

President

Phone

(810) 720-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Ghanem Almounajed, MD

  • Gastroenterology Physician
  • Flint, MI
  • NPI 1235146150
  Medicare reassignment NPD Authorized official
• Mustafa Alnounou, MD

  • Gastroenterology Physician
  • Flint, MI
  • NPI 1235165481
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1639387244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 VILLA LINDE PKWY STE 28",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323438",
            "telephone_number": "810-720-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 VILLA LINDE PKWY STE 28",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323438",
            "telephone_number": "810-720-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN GASTROENTEROLOGY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "ALMOUNAJED",
        "authorized_official_first_name": "GHANEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-720-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "GA069125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1102504982",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michigan Health Associates (None)
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• Michigan Healthcare Center
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• Michigan Home Assist

• Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.