Great Lakes Gastroenterology PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GREAT LAKES GASTROENTEROLOGY PLLC

Practice address

3903 Hollywood Rd
Saint Joseph, MI 49085-9149

Phone

(269) 408-1100

Fax

(269) 408-1329

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce A Jones, M.D

Title

Medical Doctor/Partner

Phone

(269) 408-1100

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAAFAA

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780691899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-408-1100",
            "fax_number": "269-408-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-408-1100",
            "fax_number": "269-408-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/PARTNER",
        "authorized_official_telephone_number": "269-408-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Marie Grabemeyer-Layman, M.D.
• Tamara L Grady, PA
• Albert Grashuis, LPC
• Great Lakes Eye Care PC
• Great Lakes Family Dental Group-St. Joseph
• Great Lakes Heart & Vascular Institute, P.C.
• Great Lakes Sports Medicine and Concussion Clinic
• Great Lakes Surgery Center LLC
• Mark H Greenberg, MD
• Adrienne Greene, DPT

• Gastroenterology Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.