Huron Gastro Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HURON GASTRO ENDOSCOPY CENTER LLC

Doing business as

Huron Gastro Center for Digestive Care

Practice address

36650 5 Mile Rd
Livonia, MI 48154-1951

Phone

(714) 766-5882

NPI assigned

May 18, 2022

Last updated

Mar 13, 2024By 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

Stephen Berger, MDNPI 1407146517

Title

Medical Director

Phone

(734) 434-6262

Specialties & licenses 1

Addresses

Other names 1

• Huron Gastro Center for Digestive Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Huron Gastro Endoscopy Center LLC Dba Huron Gastro Center for Digestive CareCCN 23C0001155

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St Mary Mercy Hospital

  dba Trinity Health Livonia Hospital

  • Health Educator
  • Livonia, MI
  • NPI 1013649557

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Stephen H Berger, M.D.

  • Gastroenterology Physician
  • Ypsilanti, MI
  • NPI 1407146517
  NPD Authorized official
• Larry A Adler, M.D.

  • Gastroenterology Physician
  • Ypsilanti, MI
  • NPI 1356320634
  NPD
• Mark D Zeglis, M.D.

  • Gastroenterology Physician
  • Ypsilanti, MI
  • NPI 1497898233
  NPD (past)

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1689311938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ELLIOTT DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978632",
            "telephone_number": "734-431-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36650 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541951",
            "telephone_number": "714-766-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON GASTRO ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2024-03-13",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "734-434-6262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huron Gastro Center for Digestive Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Huron Gastro Center for Digestive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Logan Humitz, CCC
• Marie Humphrey, O.D.
• Kaylyn Hundiak
• Davis G Hunt, CCP
• Kara Hurley
• Ashley Hurst
• Jacqueline Terry Hurst, LMSW
• Julia Husby
• Khursheed Hussain
• Shehrbano Hussain, RPH

• Ambulatory Surgical Clinic/Center in Livonia, MI
• Providers in Livonia, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.