Active NPI
Access Family Gastroenterology PLLC
- Pediatric Gastroenterology Physician
- Flint, MI
National Provider Identifier
1982015228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- Legal business name
- ACCESS FAMILY GASTROENTEROLOGY PLLC
- Practice address
- G-1125 Linden Rd
Suite 500
Flint, MI 48532 - Phone
- (810) 262-2140
- NPI assigned
- May 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad Tabbah, M.D.
- Title
- Sole MBR
- Phone
- (810) 399-6356
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | Primary |
Addresses
Primary practice location
G-1125 Linden Rd
Suite 500
Flint, MI 48532
Mailing address
PO Box 321162
Flint, MI 48532-0020
Phone (810) 262-2140
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399507200000",
"number": "1982015228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 321162",
"city": "FLINT",
"state": "MI",
"postal_code": "485320020",
"telephone_number": "810-262-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G-1125 LINDEN RD",
"address_2": "SUITE 500",
"city": "FLINT",
"state": "MI",
"postal_code": "48532",
"telephone_number": "810-262-2140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS FAMILY GASTROENTEROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-08",
"last_updated": "2014-05-08",
"status": "A",
"authorized_official_last_name": "TABBAH",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "810-399-6356",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.