| Troy Gastroenterology Pc | |
|
1701 South Blvd E 300 Rochester Hills MI 48307-6122 | |
| (586) 726-8423 | |
| Not Available |
| Full Name | Troy Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 South Blvd E, Rochester Hills, Michigan |
| Authorized Official Name and Position | Sante D Bologna (DIRECTOR) |
| Authorized Official Contact | 5867268423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Troy Gastroenterology Pc 4600 Investment Dr 380 Troy MI 48098-6365 Ph: (248) 267-5025 | Troy Gastroenterology Pc 1701 South Blvd E 300 Rochester Hills MI 48307-6122 Ph: (586) 726-8423 |
| NPI Number | 1134180318 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 04/21/2021 |
| Medicare PECOS PAC ID | 9739143991 |
|---|---|
| Medicare Enrollment ID | O20041117000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134180318 | NPI | - | NPPES |
| 100F31077 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ronald P Fogel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588641633 PECOS PAC ID: 9739168279 Enrollment ID: I20040717000157 |
| Provider Name | Sante D Bologna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972585925 PECOS PAC ID: 5698766764 Enrollment ID: I20041222000241 |
| Provider Name | John R Weber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770568289 PECOS PAC ID: 3476511684 Enrollment ID: I20041222000283 |
| Provider Name | Richard T Wille |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689656662 PECOS PAC ID: 6103884317 Enrollment ID: I20041222000311 |
| Provider Name | Partha S Nandi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184605206 PECOS PAC ID: 4789642992 Enrollment ID: I20041222000331 |
| Provider Name | Mehmet Emin Donat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003898347 PECOS PAC ID: 1153389366 Enrollment ID: I20041222000345 |
| Provider Name | Leonard G Quallich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093797326 PECOS PAC ID: 6507824711 Enrollment ID: I20041222000354 |
| Provider Name | Anezi E Bakken |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568444545 PECOS PAC ID: 9234197443 Enrollment ID: I20041222000371 |
| Provider Name | Daniel C Coffey |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1710961305 PECOS PAC ID: 0840237020 Enrollment ID: I20050719000093 |
| Provider Name | Mehdi Hassan Baluch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104831536 PECOS PAC ID: 0648277749 Enrollment ID: I20061102000566 |
| Provider Name | Oussama Al Sawas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225151194 PECOS PAC ID: 1557437696 Enrollment ID: I20080913000170 |
| Provider Name | Neal S Goldstein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578523643 PECOS PAC ID: 5092873315 Enrollment ID: I20081015000177 |
| Provider Name | Tusar K Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740271527 PECOS PAC ID: 2466416615 Enrollment ID: I20100422000444 |
| Provider Name | Aalia Saeed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225220791 PECOS PAC ID: 1355470857 Enrollment ID: I20100521000060 |
| Provider Name | Iftiker K Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184673402 PECOS PAC ID: 0749271245 Enrollment ID: I20101118000559 |
| Provider Name | Albert B Ross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568411510 PECOS PAC ID: 3577554070 Enrollment ID: I20101118000583 |
| Provider Name | Scott A Plaehn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750339073 PECOS PAC ID: 4486645983 Enrollment ID: I20110107000602 |
| Provider Name | John F Walling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073579512 PECOS PAC ID: 7012908510 Enrollment ID: I20110107000632 |
| Provider Name | Siaka I Yusuf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619925146 PECOS PAC ID: 2163603762 Enrollment ID: I20110301000817 |
| Provider Name | Lucas Allen Julien |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1821213315 PECOS PAC ID: 1153474309 Enrollment ID: I20120518000058 |
| Provider Name | Tadd K Hiatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457407074 PECOS PAC ID: 0143395301 Enrollment ID: I20120821000531 |
| Provider Name | Amir Abadir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184050098 PECOS PAC ID: 3678700143 Enrollment ID: I20131209001710 |
| Provider Name | Antonella G Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881023729 PECOS PAC ID: 9032348172 Enrollment ID: I20140212001004 |
| Provider Name | Radoslav Coleski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396041067 PECOS PAC ID: 3476777053 Enrollment ID: I20140623000955 |
| Provider Name | Cristin R Opreanu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235375585 PECOS PAC ID: 0840598553 Enrollment ID: I20160413001677 |
| Provider Name | Jack Tocco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649590001 PECOS PAC ID: 1456655166 Enrollment ID: I20160621002184 |
| Provider Name | Aditi Saxena |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972766574 PECOS PAC ID: 7618197112 Enrollment ID: I20160725000290 |
| Provider Name | Ihab Hammoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538378617 PECOS PAC ID: 0749475549 Enrollment ID: I20161031001778 |
| Provider Name | Cristie Sarah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649724998 PECOS PAC ID: 4981985009 Enrollment ID: I20170104001720 |
| Provider Name | Noelle Marie Maude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275062184 PECOS PAC ID: 2668740770 Enrollment ID: I20170614000730 |
| Provider Name | Jessica Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922519958 PECOS PAC ID: 4284997214 Enrollment ID: I20180404001610 |
| Provider Name | Dorian T Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508157702 PECOS PAC ID: 5597984609 Enrollment ID: I20180809005129 |
| Provider Name | Dana M Stewart |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588939433 PECOS PAC ID: 8123322633 Enrollment ID: I20180904002057 |
| Provider Name | Kirthi Konda Lilley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063733111 PECOS PAC ID: 8820390875 Enrollment ID: I20190102000718 |
| Provider Name | Nicole Najor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215567870 PECOS PAC ID: 2365870524 Enrollment ID: I20200322000098 |
| Provider Name | Wael Dahhan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548618796 PECOS PAC ID: 3476944133 Enrollment ID: I20220106002835 |
| Provider Name | Nicolette Vanmaldeghem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538828223 PECOS PAC ID: 0840685368 Enrollment ID: I20220321001221 |
| Provider Name | Victoria L Pruss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518549286 PECOS PAC ID: 3870989460 Enrollment ID: I20220407001473 |
| Provider Name | Freeha Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043654890 PECOS PAC ID: 2567698319 Enrollment ID: I20220623002165 |
| Provider Name | Jannel Lee-allen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700240819 PECOS PAC ID: 2668769399 Enrollment ID: I20220707002521 |
| Provider Name | Daniel P Geisler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467488585 PECOS PAC ID: 9537199245 Enrollment ID: I20220912001938 |
Avon Geriatric Care Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 Barclay Cir, Suite D, Rochester Hills, MI 48307 Phone: 248-852-8421 | |
Arturo Prada, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6700 N Rochester Rd, Suite 110, Rochester Hills, MI 48306 Phone: 248-652-1202 | |
Lillian Marzouq, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Rochdale Dr S, Suite B, Rochester Hills, MI 48309 Phone: 248-652-1560 Fax: 248-652-1591 | |
Mclaren Health Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 Walton Blvd, Rochester Hills, MI 48307 Phone: 248-453-5173 Fax: 810-600-7720 | |
Rochester Internists, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2708 S Rochester Road, Rochester Hills, MI 48307 Phone: 248-844-1500 Fax: 248-844-1501 | |
Mazen Sabbaq M.d. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Barclay Cir Ste 205, Rochester Hills, MI 48307 Phone: 248-651-6430 Fax: 248-650-1382 | |
Michigan Medical Diagnostic Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Barclay Cir, Suite 109, Rochester Hills, MI 48307 Phone: 248-844-2980 Fax: 248-844-2983 |