Michigan Gastroenterology PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MICHIGAN GASTROENTEROLOGY PLLC

Practice address

29000 Little Mack Ave Ste a
Saint Clair Shores, MI 48081-3018

Phone

(313) 644-0040

NPI assigned

Aug 19, 2024

Last updated

Nov 12, 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

Robbie Taha, DONPI 1235251042

Title

Owner

Phone

(313) 644-0040

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robbie H Taha, D.O.

  • Gastroenterology Physician
  • Saint Clair Shores, MI
  • NPI 1235251042
  NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1730911694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29000 LITTLE MACK AVE STE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813018",
            "telephone_number": "313-644-0040",
            "fax_number": "313-644-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 LITTLE MACK AVE STE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813018",
            "telephone_number": "313-644-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "TAHA",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-644-0040",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G. Taylor,M.D.P.L.C.
• Carolyn M Michalik, P.T.
• Michigan Center for Traumatic Stress
• Michigan Center for Traumatic Stress
• Michigan Forensic Intervention Services
• Michigan Institute of Urology Laboratory
• Michigan Institute of Urology PC
• Michigan Neurology Associates DME
• Michigan Neurology Associates Opt
• Michigan Neurology Associates PC

• Gastroenterology Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.