Gastroenterology Consultants PLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

5101007294 Issued in MI

Legal business name

GASTROENTEROLOGY CONSULTANTS PLC

Practice address

1525 E Beltline Ave NE
#101
Grand Rapids, MI 49525-4598

Phone

(616) 828-5727

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

John D Serini, DONPI 1285679589

Title

Owner

Phone

(616) 828-5727

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• John D Serini, DO

  • Gastroenterology Physician
  • Wyoming, MI
  • NPI 1285679589
  Medicare reassignment Care Compare group NPD Authorized official
• Jeannie Wilcox, PA-C

  • Physician Assistant
  • Wyoming, MI
  • NPI 1386791515
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861526196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE",
            "address_2": "#101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE",
            "address_2": "#101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-828-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-828-5727",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101007294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4819265",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauryn Gaskin
• Carlynn Noel Gasser, MD
• Krista M Gast, R.D.
• Laurie Gastineau, M.A., CCC-SLP, CBIS
• Robert Gaston
• Gastroenterology Institute of West Michigan PC
• Gastroenterology Specialist PC
• Teia Gates-Hudgins
• Keragan Marquel Gates
• Marilyn L.G. Gates, M.D.

• Gastroenterology Physician in Grand Rapids, MI
• Providers in Grand Rapids, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.