Kyle Antosiek DO PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

KYLE ANTOSIEK DO PC

Practice address

5680 Bow Pointe Dr Ste 102
Clarkston, MI 48346-5407

Phone

(248) 221-1845

Fax

(833) 645-2176

NPI assigned

Mar 23, 2022

Last updated

Jul 25, 2022By 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

Dr. Kyle Antosiek, DONPI 1376926972

Title

Owner

Phone

(586) 630-6551

Specialties & licenses 2

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.

• Kyle Edward Antosiek, D.O.

  • Gastroenterology Physician
  • Clinton Township, MI
  • NPI 1376926972
  Authorized official Same address or phone

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1871243931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 BOW POINTE DR STE 102",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465407",
            "telephone_number": "248-221-1845",
            "fax_number": "833-645-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 BOW POINTE DR STE 102",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465407",
            "telephone_number": "248-221-1845",
            "fax_number": "833-645-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Perry St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483422217",
            "country_code": "US",
            "telephone_number": "708-586-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KYLE ANTOSIEK DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "ANTOSIEK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-630-6551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Thomas Krull, PA-C
• Sarah Kube
• Kenneth J Kubiak, PT
• Mark T. Kush, R. PH.
• Gary S Kwartowitz, D.O.
• Dylan Lackaye
• Robert Lagrou, D.O.
• Joseph P Lajoie, D.O.
• Lori A. Lajoie, D.O.
• Lake Orion Counseling Center

• Gastroenterology Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.