Active NPI
The Doctors Group P.C.
Doing business as South Central ENT
- Otolaryngology Physician
- Marshall, MI
National Provider Identifier
1710939954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- THE DOCTORS GROUP P.C.
- Doing business as
- South Central ENT
- Practice address
- 215 E Mansion St
Suite 2D
Marshall, MI 49068-1559 - Phone
- (269) 789-0015
- Fax
- (269) 789-1551
- NPI assigned
- May 16, 2006
- Last updated
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Gordon, M.D.
- Title
- Physician Partner
- Phone
- (269) 781-4267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
215 E Mansion St
Suite 2D
Marshall, MI 49068-1559
Mailing address
215 E Mansion St
Suite 2D
Marshall, MI 49068-1559
Phone (269) 789-0015
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A31055 | Other | MI | BCBSM |
| G00000001424 | Other | MI | BLUE CARE NETWORK |
Other names 1
- South Central ENT
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1710939954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E MANSION ST",
"address_2": "SUITE 2D",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681559",
"telephone_number": "269-789-0015",
"fax_number": "269-789-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MANSION ST",
"address_2": "SUITE 2D",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681559",
"telephone_number": "269-789-0015",
"fax_number": "269-789-1551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DOCTORS GROUP P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PHYSICIAN PARTNER",
"authorized_official_telephone_number": "269-781-4267",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0A31055",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "G00000001424",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Central ENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marshall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.