Organization Active NPI

Gastroenterology and Hepatology PC

  • Gastroenterology Physician
  • Kalamazoo, MI
National Provider Identifier
1770560641
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY AND HEPATOLOGY PC
Practice address
601 John St
M 475
Kalamazoo, MI 49007-5356
Phone
(269) 276-0000
Fax
(269) 276-0001
NPI assigned
Dec 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Susan Quertermus
Title
Office Manager
Phone
(269) 276-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MI Primary

Addresses

Primary practice location

601 John St
M 475
Kalamazoo, MI 49007-5356

Mailing address

601 John St
M 475
Kalamazoo, MI 49007-5356
Phone (269) 276-0000

Other names 1

  • GASTROENTEROLOGY AND HEPATOLOGY OF KALAMAZOO PC Other name

National Provider Directory

National Provider Directory

Locations

601 John St
Ste M475
Kalamazoo, MI 49007
Phone (269) 276-0000

601 John St
#475
Kalamazoo, MI 49007
Phone (269) 276-0000

601 John St
#M475
Kalamazoo, MI 49007
Phone (269) 276-0000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770560641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "M 475",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075356",
            "telephone_number": "269-276-0000",
            "fax_number": "269-276-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "M 475",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075356",
            "telephone_number": "269-276-0000",
            "fax_number": "269-276-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND HEPATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "QUERTERMUS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-276-0000"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GASTROENTEROLOGY AND HEPATOLOGY OF KALAMAZOO PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.