U. P. Digestive Disease Associates, P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

U. P. DIGESTIVE DISEASE ASSOCIATES, P.C.

Practice address

1414 W Fair Ave
Ste 247
Marquette, MI 49855-2675

Phone

(906) 225-3880

Fax

(906) 225-4523

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Cheryl Liubakka, CPA

Title

Practice Administrator

Phone

(906) 225-3880

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• U.P. Digestive Disease Associates. P.C.

  • Endoscopy Clinic/Center
  • Marquette, MI
  • NPI 1689766131

  8527958073

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• U.P. Digestive Disease Associates. P.C.

  • Endoscopy Clinic/Center
  • Marquette, MI
  • NPI 1689766131

  O20040318000019

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole L Blaauw, PA-C

  • Physician Assistant
  • Marquette, MI
  • NPI 1205811767

  MI

  Medicare reassignment Care Compare group NPD
• William G Stahl III, M.D.

  • Gastroenterology Physician
  • Marquette, MI
  • NPI 1265484760

  Gastroenterology, MI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1700929411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "STE 247",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-3880",
            "fax_number": "906-225-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "STE 247",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-3880",
            "fax_number": "906-225-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U. P. DIGESTIVE DISEASE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "LIUBAKKA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "906-225-3880",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5977",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Tuyls
• David John Tyburski, RPH
• Erika June Tyler, D.D.S.
• U P Asthma and Allergy Center
• U P Eye Specialists PLC
• U.P. Counseling LLC
• U.P. Digestive Disease Associates. P.C.
• Susan Uballe, LCSW
• Heather June Ufer
• Neil Samuel Umles, MD

• All providers in Marquette, MI
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.