Pediatric Gastroenterology Clinic, P.C.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

PEDIATRIC GASTROENTEROLOGY CLINIC, P.C.

Practice address

43700 Woodward Ave
Suite 210
Bloomfield Hills, MI 48302-5058

Phone

(248) 338-4433

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mouhib F Ayas, M.D.

Title

President

Phone

(248) 338-4433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1912172479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025058",
            "telephone_number": "248-338-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025058",
            "telephone_number": "248-338-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "AYAS",
        "authorized_official_first_name": "MOUHIB",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-338-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selina Paupert, DPT
• John H. Payne, D.D.S.
• Pear-Fect Diet PLLC
• Pediatric and Adolescent Behavioral Counseling, LLC. (Pediatric and Adult Behavioral Counseling)
• Pediatric Cardiology of Southeastren Michigan, PLLC
• Pediatric Rehab Specialists
• Pediatric Specialists of Bloomfield Hills,P.C
• Harriet Carolyn Pelton, O.D.
• Gisele Pena
• Matthew Perez, PHARMD

• Pediatric Gastroenterology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pediatric Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.