Gastroenterology Hepatology and Endoscopy PLLC

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

Organization subpart

No

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

Authorized official

Name

Vandana Vedula, MD

Title

Owner

Phone

(989) 779-5277

Specialties & licenses 1

Addresses

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": []
}

• Carrie Garchow, PA
• Brandi Garcia
• Lacey Caroline Gardner, PA-C
• Stacy L Garner, PHARMD
• Charles Jesse Garrett II
• David Gates, LLPC
• Carrie Gaudard, DPT
• Jessica Lynn Gauthier
• Nicholas Jerger Gauthier, AUD
• Emily Renee Gawel

• Gastroenterology Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.