Active NPI
Laurence Edward Stawick, M.D.
- Gastroenterology Physician
- Novi, MI
National Provider Identifier
1710953914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- LS035226
- Practice address
- 26850 Providence Pkwy
Suite 350
Novi, MI 48374-1213 - Phone
- (248) 662-4110
- Fax
- (248) 662-4120
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | LS035226 | MI | Primary |
Addresses
Primary practice location
26850 Providence Pkwy
Suite 350
Novi, MI 48374-1213
Mailing address
26850 Providence Pkwy
Suite 350
Novi, MI 48374-1213
Phone (248) 662-4110
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B47505 | Other | MI | ALLIANCE HEALTH AND LIFE |
| B47505 | Other | MI | GARDEN CITY HOSPITAL PROF |
| DN8656 | Other | MI | MEDICARE RAILROAD |
| 382814063 | Other | MI | UNITED HEALTHCARE |
| 1000F34457 | Other | MI | BCBSM |
| 103533 | Other | MI | PRIORITY HEALTH |
| 142605XX | Other | MI | PREFERRED CARE ADMIN SERV |
| 1922048 | Medicaid | MI | |
| 0P44190 | Other | MI | MEDICARE ADVANTAGE BLUE |
| 1000F34457 | Other | MI | BCN |
| 382814063 | Other | MI | COFINITY |
| B47505 | Other | MI | HAP PREFERRED PPO |
| 382814063 | Other | MI | AETNA |
| B47505 | Other | MI | HEALTH ALLIANCE PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070604000416 | MI | Practitioner - Gastroenterology | 0244338937 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LS035226 | MI | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1710953914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY",
"address_2": "SUITE 350",
"city": "NOVI",
"state": "MI",
"postal_code": "483741213",
"telephone_number": "248-662-4110",
"fax_number": "248-662-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY",
"address_2": "SUITE 350",
"city": "NOVI",
"state": "MI",
"postal_code": "483741213",
"telephone_number": "248-662-4110",
"fax_number": "248-662-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAWICK",
"first_name": "LAURENCE",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "LS035226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE HEALTH AND LIFE",
"identifier": "B47505",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GARDEN CITY HOSPITAL PROF",
"identifier": "B47505",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DN8656",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "382814063",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "1000F34457",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "103533",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE ADMIN SERV",
"identifier": "142605XX",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922048",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ADVANTAGE BLUE",
"identifier": "0P44190",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "1000F34457",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COFINITY",
"identifier": "382814063",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP PREFERRED PPO",
"identifier": "B47505",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "382814063",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "B47505",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.