NPIMap

Organization Active NPI

Gastroenterology Hepatology and Endoscopy PLLC

  • Gastroenterology Physician
  • Mt Pleasant, MI
National Provider Identifier
1962445288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301079152 Issued in MI
Legal business name
GASTROENTEROLOGY HEPATOLOGY AND ENDOSCOPY PLLC
Practice address
411 W Broadway
Ste a
Mt Pleasant, MI 48828
Phone
(989) 779-5277
Fax
(989) 779-5278
NPI assigned
Jun 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vandana Vedula, MDNPI 1922059153
Title
Owner
Phone
(989) 779-5277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 4301079152 MI Primary

Addresses

Primary practice location

411 W Broadway
Ste a
Mt Pleasant, MI 48828

Mailing address

411 W Broadway
Ste a
Mt Pleasant, MI 48828
Phone (989) 779-5277

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962445288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W BROADWAY",
            "address_2": "STE A",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48828",
            "telephone_number": "989-779-5277",
            "fax_number": "989-779-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W BROADWAY",
            "address_2": "STE A",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48828",
            "telephone_number": "989-779-5277",
            "fax_number": "989-779-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY HEPATOLOGY AND ENDOSCOPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VEDULA",
        "authorized_official_first_name": "VANDANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-779-5277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301079152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • 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.