Organization
OAKLAND GASTROENTEROLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG POLIDORI M.D. (PRESIDENT)
(248) 551-0900
Entity
Organization
Contact information
Practice address
3535 W 13 MILE RD, SUITE 202, ROYAL OAK, MI 48073-6770
(248) 551-0900
(248) 551-0905
Mailing address
3535 W 13 MILE RD, SUITE 202, ROYAL OAK, MI 48073-6770
(248) 551-0900
(248) 551-0905
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301044285
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100F37143
BCBS AND BCN
MI
05
—
2836211
—
MI
05
—
2836230
—
MI
05
—
3364901
—
MI
05
—
4101048
—
MI
05
—
4257370
—
MI
05
—
4257380
—
MI
05
—
4258298
—
MI
05
—
4310182
—
MI
05
—
4318636
—
MI
05
—
4340940
—
MI
05
—
4340978
—
MI
05
—
4592984
—
MI
Enumeration date
09/21/2006
Last updated
05/05/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us