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GREAT LAKES GASTROENTEROLOGY PLLC
NPI 1780691899
Internal Medicine - Gastroenterology in Saint Joseph, MI

Active since August 02, 2006
3903 HOLLYWOOD RD, SAINT JOSEPH, MI 49085(269) 408-1100(269) 408-1329 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Gastroenterology Pllc NPPES

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

GREAT LAKES GASTROENTEROLOGY PLLC (NPI 1780691899) is a healthcare organization registered as a gastroenterology in Saint Joseph, Michigan and active in the NPI registry since August 2006. The organization lists Bruce A Jones, Medical Doctor/partner, as its authorized official.

NPPES Registry Identity

NPI1780691899
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGREAT LAKES GASTROENTEROLOGY PLLC
Location Address3903 HOLLYWOOD RDSaint Joseph, MI 49085-9149
Mailing Address3903 Hollywood RdSaint Joseph, MI 49085-9149 · (269) 408-1100 · Fax (269) 408-1329
Phone(269) 408-1100
Fax(269) 408-1329
Organization SubpartNo
Authorized OfficialBruce A JonesMedical Doctor/partner · (269) 408-1100
Enumeration DateAugust 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780691899 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.
3903 HOLLYWOOD RD, Saint Joseph, MI 49085
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 12

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

THOMAS RYAN BIRRIS MD
Internal Medicine (Gastroenterology)
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1100
DR. BRUCE A JONES M.D.
Internal Medicine (Gastroenterology)
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1100
WILLIAM T MAKOVIC II PA
Physician Assistant (Medical)
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1100
JANET PETERS NP
Nurse Practitioner
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1100
OLGA M GASHUGI NP
Nurse Practitioner
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1100
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
General Acute Care Hospital
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1100
DR. RICKEY L SNIPES M.D.
Internal Medicine (Gastroenterology)
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1100
GLEC PLLC
Clinic/Center (Ambulatory Surgical)
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1100

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 Great Lakes Gastroenterology PLLC's NPI number?

The NPI number for Great Lakes Gastroenterology PLLC is 1780691899. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Great Lakes Gastroenterology PLLC located?

Great Lakes Gastroenterology PLLC is located at 3903 Hollywood Rd, Saint Joseph, MI 49085. The listed phone number is (269) 408-1100.

What is Great Lakes Gastroenterology PLLC's specialty?

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

What insurance does Great Lakes Gastroenterology PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Gastroenterology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Gastroenterology PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.