GASTROENTEROLOGY SPECIALIST PC
NPI 1003099904
Internal Medicine - Gastroenterology in Grand Rapids, MI

Active since December 13, 2007
1179 E PARIS AVE SE STE 200, GRAND RAPIDS, MI 49546(616) 975-9100(616) 975-1161 Get Directions Write a Review

NPPES record last updated: December 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gastroenterology Specialist Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASTROENTEROLOGY SPECIALIST PC (NPI 1003099904) is a healthcare organization registered as a gastroenterology in Grand Rapids, Michigan and active in the NPI registry since December 2007. The organization lists Diane J Atkinson, Manager, as its authorized official.

NPPES Registry Identity

NPI1003099904
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY SPECIALIST PC
Location Address1179 E PARIS AVE SE STE 200Grand Rapids, MI 49546-3682
Mailing Address1179 E Paris Ave Se Ste 200Grand Rapids, MI 49546-3682 · (616) 975-9100 · Fax (616) 975-1161
Fax(616) 975-1161
Organization SubpartNo
Authorized OfficialDiane J AtkinsonManager · (616) 975-9100
Enumeration DateDecember 13, 2007
NPI 1003099904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1179 E PARIS AVE SE STE 200, Grand Rapids, MI 49546

Other Identifiers 1

Medicare PINON99550MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1179 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gastroenterology Specialist PC's NPI number?

The NPI number for Gastroenterology Specialist PC is 1003099904. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is Gastroenterology Specialist PC located?

Gastroenterology Specialist PC is located at 1179 E Paris Ave SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 975-9100.

What is Gastroenterology Specialist PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Gastroenterology Specialist PC was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.