Macomb Gastroenterology PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MACOMB GASTROENTEROLOGY PC

Practice address

37555 Garfield
Ste 125
Clinton Township, MI 48036

Phone

(586) 263-7150

Fax

(586) 263-3212

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Byung Soon Lee, MD

Title

President

Phone

(586) 263-7150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Rene Richard Peleman, MD

  • Gastroenterology Physician
  • Clinton Township, MI
  • NPI 1225046170
  Medicare reassignment NPD
• Inge Maria Hanschu, PA-C

  • Physician Assistant
  • Royal Oak, MI
  • NPI 1023261450
  Medicare reassignment
• Natalie Mary Zameroski

  • Physician Assistant
  • Sterling Heights, MI
  • NPI 1912578378
  Medicare reassignment

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912002510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37555 GARFIELD",
            "address_2": "STE 125",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-263-7150",
            "fax_number": "586-263-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37555 GARFIELD",
            "address_2": "STE 125",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-263-7150",
            "fax_number": "586-263-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BYUNG",
        "authorized_official_middle_name": "SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-263-7150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macomb County Community Mental Health Services
• Macomb County Community Mental Helath
• Macomb County Pediatrics Dba Clinton Preferred Pediatrics, PC
• Macomb Family Services, Inc
• Macomb Family Services, Inc.
• Macomb General and Vascular Surgery, P.L.C.
• Macomb Intermediate School District
• Macomb Medical Supply Inc
• Macomb Oakland Regional Center Inc. (Easter Seals-Michigan, Inc)
• Macomb Pharmacy and Wellness

• Gastroenterology Physician in Clinton Township, MI
• Providers in Clinton Township, 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.